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Fabian Bastidas, L.D.O

NPI 1548491640 · on the registry since 2009 · sole proprietor

Practice

Address
33 Se Ocean Blvd
Stuart, FL 34994
Phone
(772) 221-8878
Fax
(772) 221-8878

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-08-06

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