Individual
BRUNO BASTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4306 ALTON RD FL 3, MIAMI BEACH, FL 33140-2840
(305) 535-3300
Mailing address
PO BOX 743144, ATLANTA, GA 30374-3144
(786) 594-6880
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME105209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001419600
—
FL
Enumeration date
05/31/2007
Last updated
07/01/2024
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