SAMUEL BUSA REALISTA

ORLANDO, FL
NPI1194052811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9223946)
Enumeration Date2009-11-17
Last Update Date2019-10-09
Business Address
Mr. SAMUEL BUSA REALISTA ARNP
2501 N ORANGE AVE STE 537N
ORLANDO, FL 32804
Phone number: 407-894-4693
Mailing Address
Mr. SAMUEL BUSA REALISTA ARNP
807 S ORLANDO AVE STE C
WINTER PARK, FL 32789-4870
Phone number: 407-894-4693