Individual
DR. USHIMBRA JUVAL BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 N LAKE AVE, LAKELAND, FL 33801-1908
(863) 519-0575
(833) 582-9251
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
(863) 582-9251
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME103746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112394000
—
FL
Enumeration date
05/24/2007
Last updated
09/11/2024
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