Individual
CHARLES A. BUSCEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
266 NW PEACOCK BLVD STE 102, PORT ST LUCIE, FL 34986-2271
(772) 618-0505
(772) 618-4692
Mailing address
7400 LAURELS PL, PORT ST LUCIE, FL 34986-3268
(772) 618-0505
(772) 618-4692
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
130769-2
NY
2084P0800X
Psychiatry Physician
Primary
ME97504
FL
Other
Enumeration date
05/18/2006
Last updated
03/17/2018
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