Individual
DR. IVO BUSHATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5299 PARK BLVD N, PINELLAS PARK, FL 33781-3418
(727) 686-1808
Mailing address
5299 PARK BLVD N, PINELLAS PARK, FL 33781-3418
(727) 547-8227
(727) 547-5225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 20607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012230100
—
FL
Enumeration date
05/29/2014
Last updated
09/20/2022
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