Organization
CENTERS OF MEDICAL EXCELLENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADITA BUSTAMANTE (COO.)
(305) 874-3909
Entity
Organization
Contact information
Practice address
941 N. KROME AVENUE, HOMESTEAD, FL 33030-4408
(786) 886-1030
(786) 377-9629
Mailing address
7925 NW 12 STREET,, SUITE 201, DORAL, FL 33126-1821
(305) 874-3909
(305) 874-3916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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