Individual
DR. GUSTAVO MARTIN HUAMAN
Active
Individual
DR. GUSTAVO MARTIN HUAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
32599
FL
363AS0400X
Surgical Physician Assistant
PA9106514
FL
Other
Enumeration date
06/27/2012
Last updated
05/05/2021
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