Individual
JUDY LYNN BUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1995 W NASA BLVD, SUITE 200, MELBOURNE, FL 32904-2300
(321) 722-4443
Mailing address
405 HIAWATHA WAY, MELBOURNE BEACH, FL 32951-3539
(321) 728-2108
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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