| Jungsil K Cusimano Md, Inc. | |
|
18842 N Dale Mabry Hwy Lutz FL 33548-4978 | |
| (813) 536-2542 | |
| (813) 536-2544 |
| Full Name | Jungsil K Cusimano Md, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 18842 N Dale Mabry Hwy, Lutz, Florida |
| Authorized Official Name and Position | Jungsil K Cusimano (PRESIDENT) |
| Authorized Official Contact | 6072062007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jungsil K Cusimano Md, Inc. 3608 Ballastone Dr Land O Lakes FL 34638-8069 Ph: (607) 206-2007 | Jungsil K Cusimano Md, Inc. 18842 N Dale Mabry Hwy Lutz FL 33548-4978 Ph: (813) 536-2542 |
| NPI Number | 1801350608 |
|---|---|
| Provider Enumeration Date | 01/25/2019 |
| Last Update Date | 01/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801350608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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