Bustillo, Juan C

Bustillo, Juan C is an individual health care provider with primary practice located at 3301 Sw 34Th Cir Ste 101 , Ocala FL 34474-6619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Bustillo, Juan C can be contacted via phone (352) 861-0100.

Contact Information

Primary practice address
3301 Sw 34Th Cir Ste 101 Ocala FL 34474-6619
Phone: (352) 861-0100
Fax: (352) 861-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME69798 Florida

Profile Details

NPI number 1023019833
LBN Legal business name Bustillo, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 11th, 2023 - 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 1023019833 NPPES
Florida MEDICAID 379937900

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