KUSSEL & ASSOCIATES INC
Medical Practice at Swann Ave, Tampa, FL

License number
Florida PO2632
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: FERDINAND KUSSEL DO
Title: PRESIDENT
Phone: (727) 797-5007
Address
Address 2
1302 W Swann Ave, Tampa, FL 33606
2378 Sunset Point Rd, Clearwater, FL 33765
National Provider ID: 1245784149
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KUSSEL & ASSOCIATES, INC

Clearwater, FL  -  Tampa, FL

Registration:
Dec 15, 1997
Addresses:
2378 Sunset Pt Rd, Clearwater, FL 33765 (Physical)
814 S Fremont Ave, Tampa, FL 33606 (Mailing)
806 S Fremont Ave, Tampa, FL 33606
State ID:
P97000105071
Business type:
Florida Profit Corporation
Presidents:
Ferdinand O Kussel (President, Director), 814 S Fremont Ave, Tampa, FL 33606 (Physical),Tania H Kussel (Treasurer, Secretary, Director, Vice President), 814 S Fremont Ave, Tampa, FL 33606 (Physical),Fred O. Kussel (President)
Agent:
Tania Kussel,814 S Fremont Ave, Tampa, FL 33606 (Physical)
EIN:
593482538

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