Individual
GUSTAVO PUIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME119163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021314600
—
FL
01
—
IZ719Z
FL MEDICARE
FL
01
—
P02081960
FL RR MEDICARE
FL
Enumeration date
04/01/2011
Last updated
03/04/2020
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