Michael Bush
Specialist/Technologist in Indian Harbour Beach, FL. Individual provider (NPI-1).
NPI number1730561663
StatusActive
Last updated in NPPESJun 27, 2015
Details
- NPI
- 1730561663
- Entity type
- Individual (NPI-1)
- Name
- Michael Bush
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2015
- Last updated
- Jun 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225500000X | Specialist/Technologist | – | – | Yes |
Practice location
1090 E Eau Gallie BlvdIndian Harbour Beach, FL 32937-4917
Phone 321-241-4884
Mailing address
1090 E Eau Gallie BlvdIndian Harbour Beach, FL 32937-4917
Phone 321-241-4884
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