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General NPI Number Information
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NPI Number | 1932515731
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Entity Type | Individual
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Provider Name | MICHAEL BARTUSECK NP
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Gender | Male
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 517 AVERY AVENUE
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City | CRYSTAL BEACH
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State | FL
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Zip | 34681
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Country | US
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Telephone | 330-904-4873
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10549
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City | ST PETERSBURG
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State | FL
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Zip | 33733-0549
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Country | US
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Telephone | 727-824-8100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9356208
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.021547
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95005203
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License Number State | CA
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