Organization
MANUEL BUSTAMANTE M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL BUSTAMANTE M.D. (OWNER)
(239) 298-1285
Entity
Organization
Contact information
Practice address
3369 PINE RIDGE RD, SUITE 203, NAPLES, FL 34109-3932
(239) 298-1285
Mailing address
3369 PINE RIDGE RD, SUITE 203, NAPLES, FL 34109-3932
(239) 298-1285
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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