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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

THOMAS A FUSCO, DPM
1034 MAR WALT DR
SUITE 100
FORT WALTON BEACH, FL32547-6639
 Phone: 850-863-2153
 Fax: 850-863-8085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for THOMAS A FUSCO · (Male)

NPI Number 1467687350
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/20/2009
Last updated 05/06/2015 - More than a year ago
Sole proprietor 1 No
Identifiers
FL License # PO3553
OH License # 36.003605
FL Medicaid 006303300
FL Medicare PIN 6505Y
Hospital affiliation(s)
  • FORT WALTON BEACH MEDICAL CENTER - (Acute Care)
    1000 MAR-WALT DR
    FORT WALTON BEACH, FL 32547
  • NORTH OKALOOSA MEDICAL CENTER - (Acute Care)
    151 REDSTONE AVE SE
    CRESTVIEW, FL 32539
  • SACRED HEART HOSPITAL ON THE EMERALD COAST - (Acute Care)
    7800 US HWY 98 W
    MIRAMAR BEACH, FL 32550
  • TWIN CITIES HOSPITAL - (Acute Care)
    2190 HWY 85 N
    NICEVILLE, FL 32578
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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