Individual
BARBARA C BUSTILLO-LEWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
14350 METROPOLIS AVE STE 1, FORT MYERS, FL 33912-4430
(239) 275-3036
(239) 275-8480
Mailing address
3434 HANCOCK BRIDGE PKWY STE 301, NORTH FORT MYERS, FL 33903-7099
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292731400
—
FL
Enumeration date
02/13/2007
Last updated
07/21/2022
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