SearchFlorida225200000X

Johnny Bustamante

NPI 1891114880 · on the registry since 2014 · sole proprietor

Practice

Address
3900 Nw 79th Ave Ste 500
Doral, FL 33166
Phone
(305) 591-4181
Organisation at this address
Maxmil.Inc
Medvali.Inc
Galimed.Inc
Svmcmed.Llc
Metropolitan
Inferred from a shared address, not stated in the registry.
Clinicians at this address
230

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-07

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