Individual
MR. JUSTIN FISCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15580 S US HIGHWAY 441, 8, SUMMERFIELD, FL 34491-4426
(844) 428-9987
(978) 232-1981
Mailing address
784 YEMASSEE LOOP, THE VILLAGES, FL 32162-1461
(513) 535-3284
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
05/20/2015
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