Bustos Munoz, Sergio

Bustos Munoz, Sergio is an individual health care provider with primary practice located at 368 Ne Franklin St , Lake City FL 32055-3088. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Bustos Munoz, Sergio can be contacted via phone (386) 292-8000.

Contact Information

Primary practice address
368 Ne Franklin St Lake City FL 32055-3088
Phone: (386) 292-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME128466 Florida
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X FTL# 43665 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X P2964 Texas

Profile Details

NPI number 1821317579
LBN Legal business name Bustos Munoz, Sergio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2010
Last updated Nov 2nd, 2016 - about 8 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 1821317579 NPPES
New Mexico MEDICAID 80287531
New Mexico MEDICAID 284782403
New Mexico MEDICAID 200398620 A
New Mexico MEDICAID 284782401
New Mexico MEDICAID 284782404
New Mexico MEDICAID 284782402

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