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Individual

TODD DAVIS HUSTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
653 W 8TH ST, UNIVERSITY OF FL COM JAX F-12, JACKSONVILLE, FL 32209-6511
(904) 244-3902
(904) 244-3020
Mailing address
653 W 8TH ST, UNIVERSITY OF FL COM JAX F-12, JACKSONVILLE, FL 32209-6511
(904) 244-3902
(904) 244-3020

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME133153
FL
2086S0102X
Surgical Critical Care Physician
Primary
ME133153
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/26/2012
Last updated
09/23/2021
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