Individual
MR. BERNARDO C LOBUSTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
13500 SUTTON PARK DR S STE 504, JACKSONVILLE, FL 32224-5290
(904) 874-5775
Mailing address
11965 ELIZABETH ANN CT, JACKSONVILLE, FL 32223-0763
(904) 476-0812
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11009381
FL
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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