person
Dr. Howard Bruce Petusevsky, DPM
Primary Podiatric Medicine Podiatrist in Sunrise, Florida
NPI 1972678498

Howard Bruce Petusevsky is a Primary Podiatric Medicine Podiatrist based in Sunrise, FL and is specialized in Primary Podiatric Medicine. Howard Bruce Petusevsky practices in Sunrise, FL and has the professional credentials of DPM. The NPI Number for Howard Bruce Petusevsky is 1972678498 and holds a License No. PO1813 (Florida).

The current practice location address for Howard Bruce Petusevsky is 7769 Nw 44Th St, Sunrise, FL and can be reached out via phone at 954-742-4343 and via fax at 954-572-8335.

Location: 7769 Nw 44Th St, Sunrise, FL, 33351-6203
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Provider Profile Details
NPI Number
1972678498
Provider Name
Howard Bruce Petusevsky
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
7769 Nw 44Th St, Sunrise, FL, 33351-6203
Phone Number
954-742-4343
Fax Number
954-572-8335
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87950 01 FL PODIATRY
institution
Provider Business Practice Location Address Details
Address
7769 Nw 44Th St
City
State
Zip
33351-6203
Phone Number
954-742-4343
Fax Number
954-572-8335
person
Provider Business Mailing Address Details
Address
7769 Nw 44Th St
City
State
Zip
33351-6203
Phone Number
954-742-4343
Fax Number
954-572-8335
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
PO1813 (Florida)
Definition
Definition to come...
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