Individual
DR. WILLY ALBERTO BUSTINZA FARFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 PALMETTO ST FL 2, NEW SMYRNA BEACH, FL 32168-7327
(386) 428-8326
Mailing address
115 PONCE TERRACE CIR, PONCE INLET, FL 32127-7015
(918) 804-7579
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5532
OK
208600000X
Surgery Physician
Primary
OS17277
FL
Other
Enumeration date
05/24/2013
Last updated
05/11/2022
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