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1194052811
SAMUEL BUSA REALISTA
ORLANDO, FL
NPI
1194052811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9223946)
Enumeration Date
2009-11-17
Last Update Date
2019-10-09
Business Address
Mr. SAMUEL BUSA REALISTA ARNP
2501 N ORANGE AVE STE 537N
ORLANDO, FL 32804
Phone number: 407-894-4693
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Mailing Address
Mr. SAMUEL BUSA REALISTA ARNP
807 S ORLANDO AVE STE C
WINTER PARK, FL 32789-4870
Phone number: 407-894-4693
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