Chussid, Fredric

Chussid, Fredric is an sole proprietor health care provider with primary practice located at 201 N University Dr Ste 110, Plantation FL 33324-2039. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Chussid, Fredric can be contacted via phone (954) 370-2400.

Contact Information

Primary practice address
201 N University Dr Ste 110 Plantation FL 33324-2039
Phone: (954) 370-2400
Fax: (954) 370-2459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 0001904 Florida

Profile Details

NPI number 1336296094
LBN Legal business name Chussid, Fredric
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jan 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336296094 NPPES
Florida MEDICAID 390094100

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