MR. Brandon Bustamante, SW19004 is a mental health counselor in Tampa, FL. MR. Brandon Bustamante, SW19004 NPI is 1366108128. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3317 W GANDY BLVD
TAMPA, FL
ZIP 33611-931
Phone: (813) 902-8600
The NPI 1366108128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 11/16/2021 and was last updated on 11/16/2021.