GUSTAVO BUSTAMANTE MD PA NPI 1851644090

NPI Information

NPI: 1851644090
Provider Name: GUSTAVO BUSTAMANTE MD PA
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
500 DELANEY AVE
402
ORLANDO, FL
ZIP 32801
Phone: (407) 841-8925
Get Directions

GUSTAVO BUSTAMANTE MD PA is an ambulatory surgical clinic center in Orlando, FL. GUSTAVO BUSTAMANTE MD PA NPI is 1851644090. The provider is registered as an organization entity type.

The provider's business location address is:

500 DELANEY AVE
402
ORLANDO, FL
ZIP 32801-850
Phone: (407) 841-8925

The provider's authorized official is Gustavo Bustamante .
The authorized official title is President and has the following contact phone number (407) 841-8925.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 10/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	24981	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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