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Individual

DR. JEFFREY J BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2603 KURT ST, EUSTIS, FL 32726-6234
(352) 483-6100
(352) 483-6114
Mailing address
2421 SLEEPY OAK LN, DELAND, FL 32720-8626
(386) 738-9605

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME50643
FL
2085U0001X
Diagnostic Ultrasound Physician
ME50643
FL

Other

Enumeration date
07/10/2006
Last updated
08/17/2007
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