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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED KUSUMOTO, MD

Active

FRED KUSUMOTO, MD is a Clinical Cardiac Electrophysiology healthcare provider located in JACKSONVILLE, Florida. NPI 1265429427 is currently active in the NPPES registry. Verify at CMS.

Clinical Cardiac Electrophysiology · JACKSONVILLE, FL

Registration Details

NPI Number
1265429427
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2005 (20.887733235041 yrs)
Last Updated
Aug 31, 2020
License
ME91015 (FL)

Practice Information

Address
4500 SAN PABLO RD S
JACKSONVILLE, FL, 322241865
Browse FL providers · Browse ZIP 32224
Phone
9049532000
Primary Specialty
Clinical Cardiac Electrophysiology
207RC0001X

Other Clinical Cardiac Electrophysiology Providers in JACKSONVILLE, FL

Name Credential NPI
DR. JAY R PATTERSON MD 1104829399
DR. JAMES TIMOTHY WALSH MD 1437152600
SATISH R GOEL M.D. 1932101334
DR. ROBERT A LUKE MD 1992707327
THOMAS FLIPSE MD 1710974977
DR. ANTHONY ROBERT MAGNANO MD 1164494563
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.