Individual
GARY WAYNE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2402 LAKE DR NW, WINTER HAVEN, FL 33881-5008
(863) 965-2999
Mailing address
2402 LAKE DR NW, WINTER HAVEN, FL 33881-5008
(863) 965-2999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 0003968
FL
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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