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Individual

DR. EDUARDO JESUS BUSTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RMFTI, PMHNP

Contact information

Practice address
12060 SW 129TH CT STE 201, MIAMI, FL 33186-4582
(786) 615-3349
Mailing address
651 W 35TH ST., HIALEAH, FL 33012-5128
(305) 527-0366
(305) 224-0679

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
IMT4281
FL
163W00000X
Registered Nurse
9194886
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11041075
FL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN11041075
FL

Other

Enumeration date
03/21/2024
Last updated
01/13/2026
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