Search › Florida › 101YM0800X
Brandon Bustamante, SW19004
NPI 1366108128 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3317 W Gandy Blvd
Tampa, FL 33611 - Phone
- (813) 902-8600
- Organisation at this address
- Docare Clinic, Inc
Prevention 305, Inc
Michael E Dunn Md IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida