IndividualActive
Randi Bustin, PA
NPI 1003069022 · Physician Assistant · Tampa, FL
Provider details
- NPI number
- 1003069022
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA9104629 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1502 E Fowler Ave
Tampa, FL 33612-5416
Phone: (813) 866-0950
Fax: (813) 866-0929
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 82969
Tampa, FL 33682-2969
Registry dates
- Enumerated
- 2008-11-04
- Last updated
- 2011-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.