Organization
MARIANO BUSSO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANO BUSSO M.D. (MEDICAL DOCTOR/PRESIDENT)
(305) 857-0144
Entity
Organization
Contact information
Practice address
3006 AVIATION AVE, SUITE 2C, COCONUT GROVE, FL 33133-3863
(305) 857-0144
(305) 857-0812
Mailing address
3006 AVIATION AVE, SUITE 2C, COCONUT GROVE, FL 33133-3863
(305) 857-0144
(305) 857-0812
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME0065566
FL
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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