Individual
LAWRENCE MICHAEL GUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6302 EAGLEBROOK AVE, TAMPA, FL 33625-1514
(813) 968-8330
Mailing address
6302 EAGLEBROOK AVE, TAMPA, FL 33625-1514
(813) 968-8330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME47296
FL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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