Banuchi, Michael A

Banuchi, Michael A is an individual health care provider with primary practice located at 1295 Jacaranda Blvd. , Venice FL 34292-4522. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Banuchi, Michael A can be contacted via phone (941) 484-1510.

Contact Information

Primary practice address
1295 Jacaranda Blvd. Venice FL 34292-4522
Phone: (941) 484-1510
Fax: (941) 484-1071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102654 Florida

Profile Details

NPI number 1851472187
LBN Legal business name Banuchi, Michael A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jun 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851472187 NPPES
Florida Other PA9102654 PA LICENSE

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