Busso, Mariano
Busso, Mariano is an sole proprietor health care provider with primary practice located at 3006 Aviation Ave Suite 2C, Coconut Grove FL 33133-3863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Busso, Mariano can be contacted via phone (305) 857-0144.Contact Information
Primary practice address
3006 Aviation Ave Suite 2C
Coconut Grove FL 33133-3863
Phone: (305) 857-0144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ME0065566 | Florida |
Profile Details
| NPI number | 1346229978 |
|---|---|
| LBN Legal business name | Busso, Mariano |
| Credentials | M.D., P.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jan 23rd, 2013 - about 11 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 | 1346229978 | NPPES |
| Florida | MEDICAID | 376308100 |
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