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Individual

DR. CARMEN LUCIA BUSTAMANTE ESCOBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 286-4985
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(786) 329-1922

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
ME131547
FL
390200000X
Student in an Organized Health Care Education/Training Program
19688
FL

Other

Enumeration date
06/23/2014
Last updated
02/27/2022
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