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DR. JEFFREY J BUSH M.D.
Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1255365854
Individual Registrant:DR. JEFFREY J BUSH M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2603 KURT ST EUSTIS, FL 32726-6234 US
Tel: 352-483-6100 Fax: 352-483-6114
Tel: 352-483-6100 Fax: 352-483-6114
Contact information for business:
2421 SLEEPY OAK LN DELAND, FL 32720-8626 US
Tel: 386-738-9605 Fax: --
Tel: 386-738-9605 Fax: --
Registration Information:
NPI: 1255365854
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2085R0202X | Allopathic & Osteopathic Physicians Radiology Diagnostic Radiology | FL | ME50643 |
| N | 2085U0001X | Allopathic & Osteopathic Physicians Radiology | FL | ME50643 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
