Individual
DR. MANUEL FABIAN BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3369 PINE RIDGE RD UNIT 203, NAPLES, FL 34109-3932
(239) 631-2662
(239) 631-8597
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME83044
FL
Other
Enumeration date
05/05/2006
Last updated
01/17/2024
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