Individual
PHYLICIA ELECTA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5252 GRAVES ROAD, TALLAHASSEE, FL 32303
(866) 459-8264
(866) 459-8264
Mailing address
5655 LUNKER LN, TALLAHASSEE, FL 32303-6942
(866) 459-8264
(866) 459-8264
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
—
FL
Other
Enumeration date
03/31/2022
Last updated
07/21/2022
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