Bustamante, Maria Ximena

Bustamante, Maria Ximena is an individual health care provider with primary practice located at 4061 Bonita Beach Rd Ste 101 , Bonita Springs FL 34134-4073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bustamante, Maria Ximena can be contacted via phone (239) 301-0105.

Contact Information

Primary practice address
4061 Bonita Beach Rd Ste 101 Bonita Springs FL 34134-4073
Phone: (239) 301-0105
Fax: (239) 288-7307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110780 Florida

Profile Details

NPI number 1669982401
LBN Legal business name Bustamante, Maria Ximena
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2017
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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