Individual
DR. MARY T BUSOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 841-7893
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 841-7893
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME92571
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME92571
FL
207RI0200X
Infectious Disease Physician
ME92571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272663700
—
FL
Enumeration date
12/13/2005
Last updated
09/16/2021
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