Individual
BEATRIZ BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N PARK AVE STE 105, APOPKA, FL 32703-4147
(407) 889-1953
Mailing address
201 N PARK AVE STE 105, APOPKA, FL 32703-4147
(407) 889-1953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9113230
FL
363AM0700X
Medical Physician Assistant
Primary
PA9113230
FL
Other
Enumeration date
06/29/2020
Last updated
03/14/2023
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