Individual
DENISE M. BUSTABAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14051 SW 72ND TER, MIAMI, FL 33183-3122
(305) 431-1608
Mailing address
14051 SW 72ND TER, MIAMI, FL 33183-3122
(305) 431-1608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ7818
FL
Other
Enumeration date
08/28/2016
Last updated
03/14/2023
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