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Organization

DAVID S. BUSH, PH.D., P.A.

Active
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Organization

DAVID S. BUSH, PH.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID S BUSH PH.D. (PRESIDENT)
(561) 622-8881
Entity
Organization

Contact information

Practice address
11211 PROSPERITY FARMS RD, SUITE C206, PALM BEACH GARDENS, FL 33410-3446
(561) 622-8881
(561) 622-8018
Mailing address
11211 PROSPERITY FARMS RD, SUITE C206, PALM BEACH GARDENS, FL 33410-3446
(561) 622-8881
(561) 622-8018

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY003425
FL

Other

Enumeration date
05/21/2012
Last updated
05/21/2012
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