Individual
DR. CLINTON G BUSH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1966 NE 123RD ST, PMB#120, NORTH MIAMI, FL 33181-2868
(305) 761-5571
Mailing address
1966 NE 123RD ST, PMB#120, NORTH MIAMI, FL 33181-2868
(305) 761-5571
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME25660
FL
Other
Enumeration date
06/27/2005
Last updated
08/29/2012
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