Provider Demographics
NPI:1396078754
Name:KUZMAN, JOHN HERBERT (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:HERBERT
Last Name:KUZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2165 PARRIS ISLAND PL
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162
Mailing Address - Country:US
Mailing Address - Phone:352-446-2981
Mailing Address - Fax:352-446-2981
Practice Address - Street 1:2165 PARRIS ISLAND PL
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162
Practice Address - Country:US
Practice Address - Phone:352-446-2981
Practice Address - Fax:352-446-2981
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 104313208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery