MEDICARE: DR. DAVID S HUSTED MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	ME117718	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255370235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID S HUSTED MD

Provider Business Mailing Address
First Line	:	5503 S CONGRESS AVE
Second Line	:	SUITE 205
City	:	ATLANTIS
State	:	FL
Zip	:	33462-6625
Country	:	US
Telephone Number	:	561-964-7511
Fax Number	:	561-964-7544

Provider Business Practice Location Address
First Line	:	3365 BURNS RD STE 203
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4303
Country	:	US
Telephone Number	:	561-402-3971
Fax Number	:	561-422-4799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	06/03/2024

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