Individual
MR. WELDON AVANT BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1713 SOUTHWEST HEALTH PARKWAY SUITE 1, NAPLES, FL 34109
(239) 597-8000
Mailing address
27583 SHERRY LN, BONITA SPRINGS, FL 34134-3940
(239) 947-5056
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2866
FL
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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