Bush, Larry M

Bush, Larry M is an sole proprietor health care provider with primary practice located at 5401 S Congress Ave Ste 201 , Atlantis FL 33462-6637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bush, Larry M can be contacted via phone (561) 967-0101.

Contact Information

Primary practice address
5401 S Congress Ave Ste 201 Atlantis FL 33462-6637
Phone: (561) 967-0101
Fax: (561) 967-6260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME0055230 Florida

Profile Details

NPI number 1689657090
LBN Legal business name Bush, Larry M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Feb 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689657090 NPPES
Florida MEDICAID 036606400

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