Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Harlee Ann Marie Bustamante, PA-C

Individual provider Physician Assistant · NPI 1265776322

Harlee Ann Marie Bustamante, PA-C is a Physician Assistant in Miami, Florida. Qualified in 2012, 14 years ago. Practices with Physician Practices of Msmc LLC, a 178-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1190 NW 95th St Ste 101
Miami, FL 33150-2063
Phone: (305) 691-2941
Fax: (305) 696-4435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106848 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9106848 (FL)

Record details

NPI number1265776322
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Physician Practices Of Msmc Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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