Individual
CHARBEL BOUSTANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6850 LAKE NONA BLVD, ORLANDO, FL 32827-7408
(407) 266-1106
Mailing address
6850 LAKE NONA BLVD, ORLANDO, FL 32827-7408
(407) 266-1106
(407) 266-1199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
151244
FL
Other
Enumeration date
06/25/2018
Last updated
02/24/2023
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