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General NPI Number Information
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NPI Number | 1750361630
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Entity Type | Individual
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Provider Name | FRANK R FUSCO M.D
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Gender | Male
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 1800 SE 17TH ST BUILDING 100
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City | OCALA
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State | FL
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Zip | 34471-4191
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Country | US
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Telephone | 352-351-4999
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Fax | 352-351-8106
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Provider Business Mailing Address
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Address Line | 2405 SE 17TH ST SUITE 201
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City | OCALA
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State | FL
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Zip | 34471-9192
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Country | US
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Telephone | 352-690-2171
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Fax | 352-690-6954
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME69994
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License Number State | FL
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