Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johnny Bustamante

Individual provider Physical Therapy Assistant · NPI 1891114880

Johnny Bustamante is a Physical Therapy Assistant in Doral, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014
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Practice location Address checks out

3900 NW 79th Ave Ste 500
Doral, FL 33166-6549
Phone: (305) 591-4181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA23842 (FL)

Record details

NPI number1891114880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2014
Last updated in NPPESApril 7, 2014
Mailing address13700 Sw 149th Circle Ln Apt 1, Miami, FL 33186-8257

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