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

Individual provider Physician Assistant · NPI 1669982401

Maria Ximena Bustamante, PA-C is a Physician Assistant in Bonita Springs, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2017
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

4061 Bonita Beach Rd Ste 101
Bonita Springs, FL 34134-4073
Phone: (239) 301-0105
Fax: (239) 288-7307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14350 Metropolis Ave Ste 2, Fort Myers, FL 33912-4430 — (239) 301-0105

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110780 (FL)

Record details

NPI number1669982401
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2017
Last updated in NPPESMarch 17, 2018

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