Organization
FREDERIC L BUSHKIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC L BUSHKIN M.D. (PRESIDENT)
(954) 964-2450
Entity
Organization
Contact information
Practice address
3850 HOLLYWOOD BLVD, SUITE 302, HOLLYWOOD, FL 33021-6748
(954) 964-2450
(954) 964-6084
Mailing address
PO BOX 816759, HOLLYWOOD, FL 33081-0759
(954) 964-2450
(954) 964-6084
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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