Michael A Banuchi, PA-C

NPI #1851472187 in Venice, Florida

Provider Information

NPI Number
1851472187
Entity Type
Individual
Name
Michael A Banuchi, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Oct 17, 2006
Last Updated
Jun 30, 2015

Practice Location

Address
1295 JACARANDA BLVD.
City
Venice
State
Florida
ZIP Code
34292-4522
Phone
(941) 484-1510

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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