DR. GUSTAVO BUSTAMANTE, M.D.
Medical Practice at Delaney Ave, Orlando, FL

License number
Florida ME0024981
Category
Medical Practice
Type
Specialist
Address
Address
500 Delaney Ave SUITE 402, Orlando, FL 32801
Phone
(407) 841-8925
(407) 841-8935 (Fax)
National Provider ID: 1932211497
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GUSTAVO BUSTAMANTE at bizstanding.com

Gustavo Bustamante MD

500 Delaney Ave, Orlando, FL 32801

Industry:
Medical Doctor's Office, Surgeons
Doing business as:
Bustamante, Gustavo MD PA
Phone:
(407) 841-8925 (Phone)
Office Managers:
Gustavo Bustamante (Owner, Surgeon, Medical Doctor),Elisa Bustamante (Office Manager)
Categories:
General Surgeons, Oncology Physicians & Surgeons, Physicians & Surgeons

GUSTAVO BUSTAMANTE PA

Orlando, FL

Registration:
Sep 22, 1980
Addresses:
500 S Delaney #402, Orlando, FL 32801 (Physical)
500 Delaney Ave, Orlando, FL 32801
State ID:
688380
Business type:
Florida Profit Corporation
Directors:
Bustamante, Gustavo Md.,Pa, 500 S Delaney #402, Orlando, FL 32801 (Physical),Gustavo Bustamante (Director)
Agent:
Bustamante Maria Elisa,500 S Delaney #402, Orlando, FL 32801 (Physical)
EIN:
59-2119795

Professional information

Gustavo Bustamante Photo 1

Gustavo Bustamante, Orlando FL
Specialties:
Surgeon
Address:
500 Delaney Ave, Orlando, FL 32801

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