GUSTAVO BUSTAMANTE MD PA (NPI# 1851644090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851644090 |
| Entity Type | Organization |
| Organization Name | GUSTAVO BUSTAMANTE MD PA |
| Practice Address |
500 Delaney Ave 402 Orlando FL 32801-3850 |
| Practice Telephone | 4078418925 |
| Mailing Telephone | 4078418925 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | DR. GUSTAVO BUSTAMANTE (PRESIDENT) |
| Authorized Official Telephone | 4078418925 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
24981 | FL | Ambulatory Health Care Facilities |
| Street Address |
500 DELANEY AVE 402 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32801-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932211497 | Gustavo Bustamante | Specialist | 500 Delaney Ave, Suite 402, Orlando, FL 32801-3850 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1144787938 | Kathryn Hankins | Physician Assistant | 801 N. Orange Ave., Suite 600, Orlando, FL 32801 | 2019-02-27 |
| 1073078044 | Lillie Albadin | Physician Assistant | 801 N. Orange Ave, Suite 600, Orlando, FL 32801 | 2019-02-04 |
| 1851800874 | Michael Smith | Physician Assistant | 11 South Osceola Ave, Apt 3102, Orlando, FL 32801 | 2017-09-21 |
| 1578082863 | Merito Mifo B. Sabangan | Physical Therapist | 1201 Noble Place, Orlando, FL 32801 | 2017-09-18 |
| 1417475351 | Lyla Shaina Halikman | Behavioral Analyst | 545 Delaney Ave Ste 5, Orlando, FL 32801 | 2017-08-30 |
| 1629520341 | Alexander Raiken | Dentist | 899 N Orange Ave Apt 501, Orlando, FL 32801 | 2016-10-28 |
| 1508286824 | Healthcheck Medical, Inc. | Specialist | 5 East Colonial Drive, Orlando, FL 32801 | 2014-04-25 |
| 1033531546 | Rushin Nalin Patel | Internal Medicine | 150 E Robinson St Unit 3206, Orlando, FL 32801 | 2014-01-17 |
| 1649613571 | Carehere LLC | Family Medicine | 10430 Ray Road, Pontre Vedra, FL 32801 | 2013-04-10 |
| Find all providers in zip 32801 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755436 | Biospine Orlando | Clinic/Center | 3900 Millenia Blvd, Orlando, FL 32839-6407 | 2019-02-07 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1164922530 | Fresenius Vascular Care Four Corners Asc LLC | Clinic/Center | 1405 S Orange Ave Ste 120, Orlando, FL 32806 | 2018-02-13 |
| 1326309394 | Advanced Surgery Center of Orlando LLC | Clinic/Center | 6900 Turkey Lake Rd Ste 2-5, Orlando, FL 32819-4707 | 2012-06-06 |
| 1336445873 | Sand Lake Surgicenter LLC | Clinic/Center | 7477 Sandlake Commons Blvd, Orlando, FL 32819-8034 | 2011-02-01 |
| 1356654610 | Endo-surgical Center of Florida | Clinic/Center | 100 North Dean Road, Suite 102, Orlando, FL 32825 | 2010-07-15 |
| 1457545980 | Sand Lake Surgery Center, Lp | Clinic/Center | 7477 Sand Lake Commons Blvd, Orlando, FL 32819-8034 | 2007-08-28 |
| 1598980690 | Tcorp Inc | Clinic/Center | 2013 E Jefferson Street, Orlando, FL 32803 | 2007-04-16 |
| 1285752717 | Richard Arabitg | Clinic/Center | 8940 Conroy-windemere Rd., Orlando, FL 32835 | 2007-03-26 |
| 1881736734 | Millenia Surgery Center LLC | Clinic/Center | 4901 Vineland Rd, Suite 150, Orlando, FL 32811-7300 | 2007-02-13 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.