Provider Demographics
NPI:1871945600
Name:BUSCEMI, JAMES ROBERT
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ROBERT
Last Name:BUSCEMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6608 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-1694
Mailing Address - Country:US
Mailing Address - Phone:954-906-5161
Mailing Address - Fax:954-906-5624
Practice Address - Street 1:6608 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067-1694
Practice Address - Country:US
Practice Address - Phone:954-906-5161
Practice Address - Fax:954-906-5624
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994504251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health