MEDICARE: DR. THOMAS ARTHUR FUSCO D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3553	FL
2	213ES0103X	Foot & Ankle Surgery Podiatrist	36.003605	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467687350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS ARTHUR FUSCO D.P.M.

Provider Business Mailing Address
First Line	:	917 MAR WALT DR
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-6651
Country	:	US
Telephone Number	:	850-862-3979
Fax Number	:	850-620-6058

Provider Business Practice Location Address
First Line	:	1326 LEWIS TURNER BLVD
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-1139
Country	:	US
Telephone Number	:	850-855-4048
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2009
Last Update Date	:	09/01/2024

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