Individual
MICHAEL P BUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 NW 14TH ST, 202, MIAMI, FL 33125-1673
(305) 545-0095
(305) 545-7535
Mailing address
1321 NW 14 STREET, 202, MIAMI, FL 33135
(305) 545-0095
(305) 545-7535
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0040303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066692100
—
FL
01
—
95978
BC/BS
FL
Enumeration date
08/10/2006
Last updated
06/16/2009
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