Individual
KENNETH CUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8661
(352) 846-2231
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-8661
(352) 846-2231
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
J5086
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME111806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045970302
—
TX
Enumeration date
08/24/2006
Last updated
02/06/2012
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