Individual
CARMEN BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3986 W 16TH AVE, HIALEAH, FL 33012-7000
(305) 823-2433
Mailing address
4261 W 9TH CT, HIALEAH, FL 33012-7259
(786) 376-3964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0816074
FL
Other
Enumeration date
08/16/2016
Last updated
05/14/2019
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