Provider Demographics
NPI:1336160258
Name:BUSSEAR, ERIC W (PA)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:W
Last Name:BUSSEAR
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Gender:M
Credentials:PA
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Mailing Address - Street 1:11760 BIRD RD
Mailing Address - Street 2:SUITE 451
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3582
Mailing Address - Country:US
Mailing Address - Phone:305-227-9233
Mailing Address - Fax:305-227-0658
Practice Address - Street 1:11760 BIRD RD
Practice Address - Street 2:SUITE 451
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3582
Practice Address - Country:US
Practice Address - Phone:305-227-9233
Practice Address - Fax:305-227-0658
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2014-11-03
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Provider Licenses
StateLicense IDTaxonomies
FLPA3223363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant