Individual
DR. KEVIN BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
502 W HIGHLAND BLVD, INVERNESS, FL 34452-4720
(352) 344-6999
Mailing address
402 W GRACE ST, INVERNESS, FL 34452-4712
(352) 344-6999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.076341
IL
207RC0000X
Cardiovascular Disease Physician
Primary
OS20168
FL
Other
Enumeration date
06/25/2020
Last updated
06/14/2023
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