Healthcare Provider Details

I. General information

NPI: 1023540598
Provider Name (Legal Business Name): MARCIN KUZMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 E BRANDON BLVD # 2007
BRANDON FL
33511-5509
US

IV. Provider business mailing address

1032 E BRANDON BLVD # 2007
BRANDON FL
33511-5509
US

V. Phone/Fax

Practice location:
  • Phone: 917-426-2973
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME179440
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: