Individual
DR. HOWARD BRUCE PETUSEVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7769 NW 44TH ST, SUNRISE, FL 33351-6203
(954) 742-4343
(954) 572-8335
Mailing address
7769 NW 44TH ST, SUNRISE, FL 33351-6203
(954) 742-4343
(954) 572-8335
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO1813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87950
PODIATRY
FL
Enumeration date
11/21/2006
Last updated
07/12/2010
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