Provider Demographics
NPI:1962793869
Name:BUSTIN, DEVIN (MD)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:BUSTIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1300 MICCOSUKEE ROAD
Mailing Address - Street 2:BIXLER EMERGENCY CENTER
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308
Mailing Address - Country:US
Mailing Address - Phone:850-431-0911
Mailing Address - Fax:850-431-0779
Practice Address - Street 1:1300 MICCOSUKEE ROAD
Practice Address - Street 2:BIXLER EMERGENCY CENTER
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308
Practice Address - Country:US
Practice Address - Phone:850-431-0911
Practice Address - Fax:850-431-0779
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2025-01-14
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Provider Licenses
StateLicense IDTaxonomies
NY299403207P00000X
FLME119315207P00000X
NC173062207P00000X
PAMD476043207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine