Gomez Bustamante, Jorge Mario

Gomez Bustamante, Jorge Mario is an sole proprietor health care provider with primary practice located at 823 S Parsons Ave , Brandon FL 33511-6063. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Gomez Bustamante, Jorge Mario can be contacted via phone (813) 662-4841.

Contact Information

Primary practice address
823 S Parsons Ave Brandon FL 33511-6063
Phone: (813) 662-4841
Fax: (813) 743-3111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19770 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN980 Florida

Profile Details

NPI number 1184133050
LBN Legal business name Gomez Bustamante, Jorge Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2017
Last updated Jun 22nd, 2026 - about 5 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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