NPI Code Details Logo

NPI 1376273011

NPI 1376273011 : BUSE YUCEER PA-C : WINDERMERE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376273011
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BUSE YUCEER PA-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/15/2022
-----------------------------------------------------
    Last Update Date     |    08/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5151 WINTER GARDEN VINELAND RD STE 208 
-----------------------------------------------------
    City                 |    WINDERMERE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34786-6098
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    407-612-4007
-----------------------------------------------------
    Fax                  |    407-612-4017
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    425 W COLONIAL DR 
-----------------------------------------------------
    City                 |    ORLANDO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32804-6863
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    321-332-6947
-----------------------------------------------------
    Fax                  |    407-286-4515
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    PA9116028
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363AM0700X
-----------------------------------------------------
    Taxonomy Name        |    Medical Physician Assistant
-----------------------------------------------------
    License Number       |    PA9116028
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.