Bushati, Ivo
Bushati, Ivo is an individual health care provider with primary practice located at 5299 Park Blvd N , Pinellas Park FL 33781-3418. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bushati, Ivo can be contacted via phone (727) 686-1808.Contact Information
Primary practice address
5299 Park Blvd N
Pinellas Park FL 33781-3418
Phone: (727) 686-1808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN 20607 | Florida |
Profile Details
| NPI number | 1952713547 |
|---|---|
| LBN Legal business name | Bushati, Ivo |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2014 |
| Last updated | Sep 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952713547 | NPPES |
| Florida | MEDICAID | 012230100 |
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