Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS0004785 | FL |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | OS4785 | FL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | OS4785 | FL |
N | 207XX0801X | Orthopaedic Trauma Surgeon | OS4785 | FL |
NPI | 1255312435 |
---|---|
Provider Name | Dr. Michael J Buscemi JR. |
First Address | Tampa, FL 33626-4701 |
Second Address | Tampa, FL 33626-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 12/12/2013 |