Jorge Luis Bustillo Gonzalez, APRN | |
466 Jennings Ave, Greenacres, FL 33463-2026 | |
(702) 573-4606 | |
Not Available |
Full Name | Jorge Luis Bustillo Gonzalez |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 466 Jennings Ave, Greenacres, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912750597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 11032235 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11032235 (Florida) | Primary |
Entity Name | Nova Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952941346 PECOS PAC ID: 1759705148 Enrollment ID: O20200717001851 |
Mailing Address | Practice Location Address |
---|---|
Jorge Luis Bustillo Gonzalez, APRN 466 Jennings Ave, Greenacres, FL 33463-2026 Ph: (702) 573-4606 | Jorge Luis Bustillo Gonzalez, APRN 466 Jennings Ave, Greenacres, FL 33463-2026 Ph: (702) 573-4606 |
Lordine Exantus, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Wedgewood Lks S, Greenacres, FL 33463 Phone: 561-667-9990 | |
Dr. Diana O'connor, ARNP PHD Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4849 Lake Worth Rd Ste 202, Suite 202, Greenacres, FL 33463 Phone: 561-907-7413 | |
Manyse Horace, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6615 Adriatic Way, Greenacres, FL 33413 Phone: 561-255-1883 | |
Dr. Archimore Alexander Wright, PH.D Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5032 Solar Point Dr, Greenacres, FL 33463 Phone: 944-624-6912 | |
Euclides Munoz Perez, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 1st Ln, Greenacres, FL 33463 Phone: 561-480-3052 | |
Sobner Pierre, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5098 Bright Galaxy Ln, Greenacres, FL 33463 Phone: 561-506-1527 | |
Carame Cameau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5166 Aurora Lake Cir, Greenacres, FL 33463 Phone: 561-827-8075 |