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Individual

JUAN C BUSTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3301 SW 34TH CIR STE 101, OCALA, FL 34474-6619
(352) 861-0100
(352) 861-1119
Mailing address
3301 SW 34TH CIR STE 101, OCALA, FL 34474-6619
(352) 861-0100
(352) 861-1119

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME69798
FL
332900000X
Non-Pharmacy Dispensing Site

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379937900
FL
Enumeration date
08/02/2005
Last updated
02/19/2026
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