Individual
MS. DEBORAH C BUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6901 SIMMONS LOOP, 4TH FLOOR, RIVERVIEW, FL 33578-9498
(813) 302-8388
(813) 302-8453
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5653
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9313233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018350000
—
FL
01
—
RZFAL
FLORIDA BLUE
FL
Enumeration date
09/05/2014
Last updated
07/19/2018
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