Individual
DR. MARIANO BUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
3006 AVIATION AVE, SUITE 2C, COCONUT GROVE, FL 33133-3863
(305) 857-0144
Mailing address
3006 AVIATION AVE, SUITE 2C, COCONUT GROVE, FL 33133-3863
(305) 857-0144
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME0065566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376308100
—
FL
Enumeration date
01/12/2006
Last updated
01/23/2013
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