BASIL D. FOSSUM, M.D., F.A.C.S.
Medical Practice at Mar Walt Dr, Fort Walton Beach, FL
License number
Florida ME53505
Category
Radiology
Type
Urology
License number
Florida ME53505
Category
Medical Practice
Type
Specialist
Address
Address
2
914B Mar Walt Dr, Fort Walton Beach, FL 32547
2234 Colonial Blvd Attn: Payer Contracting & Relations, Fort Myers, FL 33907
2234 Colonial Blvd Attn: Payer Contracting & Relations, Fort Myers, FL 33907
Phone
(850) 226-6572
(850) 862-8564 (Fax)
(239) 931-7342
(239) 931-7385 (Fax)
(850) 862-8564 (Fax)
(239) 931-7342
(239) 931-7385 (Fax)
Organization information
See more information about BASIL D. FOSSUM at bizstanding.com21ST Century Oncology - Basil D Fossum MD
914 Mar Walt Dr #B, Ft Walton Beach, FL 32547
Categories:
General Surgeons, Pediatrics Physicians & Surgeons, Physicians & Surgeons, ...
Site:
Phone:
(850) 862-2555 (Phone)
Additional:
PHYSICIAN DIRECTORY, "A Network of High Quality
Basil D. Fossum, M.D., PA
Ft Walton Beach, FL
Status:
Inactive
Registration:
Jun 22, 1990
Addresses:
914B Mar Walt Dr, Ft Walton Beach, FL 32547
914 Mar Walt Dr, Ft Walton Beach, FL 32547
914 Mar Walt Dr, Ft Walton Beach, FL 32547
State ID:
L82812
Business type:
Domestic for Profit Corporation
Directors:
Christine A. Fossum President, Vice President, inactive,Basil D. Fossum Director, inactive
Agent:
Fossum, Basil D., M.d., Pa
Professional information
Basil D Fossum, Ft Walton Beach FL
Specialties:
Urologist
Address:
914 Mar Walt Dr, Fort Walton Beach, FL 32547
914B Mar Walt Dr, Fort Walton Beach, FL 32547
914B Mar Walt Dr, Fort Walton Beach, FL 32547
Education:
University of California San Francisco, School of Medicine - Doctor of Medicine
Board certifications:
American Board of Urology Certification in Urology