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Carlos Andres Bustamante, MD
Student in an Organized Health Care Education/Training Program in Fort Myers, Florida
NPI 1821484619

Carlos Andres Bustamante is a Student in an Organized Health Care Education/Training Program based in Fort Myers, FL. Carlos Andres Bustamante practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Carlos Andres Bustamante is 1821484619 and holds a License No. (Florida).

The current practice location address for Carlos Andres Bustamante is 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL and can be reached out via phone at 239-343-9960 and via fax at 239-343-9977.

Location: 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821484619
Provider Name
Carlos Andres Bustamante
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL, 33902-2147
Phone Number
239-343-9960
Fax Number
239-343-9977
Provider Enumeration Date
04/08/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107405600 05 FL
institution
Provider Business Practice Location Address Details
Address
8380 Riverwalk Park Blvd Ste 100
City
Fort Myers
State
Florida
Zip
33919-8758
Phone Number
239-343-9960
Fax Number
239-343-9977
person
Provider Business Mailing Address Details
Address
8380 Riverwalk Park Blvd Ste 100
City
Fort Myers
State
Florida
Zip
33919-8758
Phone Number
239-343-9960
Fax Number
239-343-9977
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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