| NPI | 1548631278 |
|---|---|
| Doing Business As | FREDERIC L BUSHKIN MD |
| Entity Type | Organization |
| Authorized Contact | SHADEN MARZOUK President 239-931-7254 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2023-10-05 |