Bustillo Gonzalez, Jorge Luis

Bustillo Gonzalez, Jorge Luis is an individual health care provider with primary practice located at 466 Jennings Ave , Greenacres FL 33463-2026. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bustillo Gonzalez, Jorge Luis can be contacted via phone (702) 573-4606.

Contact Information

Primary practice address
466 Jennings Ave Greenacres FL 33463-2026
Phone: (702) 573-4606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 11032235 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11032235 Florida

Profile Details

NPI number 1912750597
LBN Legal business name Bustillo Gonzalez, Jorge Luis
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2024
Last updated May 12th, 2024 - about 7 months 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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