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Contact Information

DIANE I BUSTAMANTE, RD CDN LDN
11987 SOUTHERN BLVD
SUITE 1058
ROYAL PALM BEACH, FL33411
 Phone: 917-418-5710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for DIANE I BUSTAMANTE · (Female)

NPI # 1558609982
Status Active
Credentials RD CDN LDN
Entity Individual
Enumeration date 01/18/2013
Last updated 10/09/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 005542
  • NY License # 855630
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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