Provider Demographics
NPI:1750361630
Name:FUSCO, FRANK R (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:R
Last Name:FUSCO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2405 SE 17TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-9192
Mailing Address - Country:US
Mailing Address - Phone:352-690-2171
Mailing Address - Fax:352-690-6954
Practice Address - Street 1:1800 SE 17TH ST
Practice Address - Street 2:BUILDING 100
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4191
Practice Address - Country:US
Practice Address - Phone:352-351-4999
Practice Address - Fax:352-351-8106
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2022-01-26
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Provider Licenses
StateLicense IDTaxonomies
FLME69994207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL080194678OtherRR MEDICARE
FL251414101Medicaid
FL31832OtherBCBS
FL31832ZMedicare PIN
FL31832YMedicare PIN
FL080194678OtherRR MEDICARE