NICHOLAS ALEXANDER PUKISH

FORT WALTON BEACH, FL
NPI1073539771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  pa 9100880)
Enumeration Date2006-07-14
Last Update Date2020-01-27
Business Address
Mr. NICHOLAS ALEXANDER PUKISH PA-C
1825 HURLBURT RD STE 14
FORT WALTON BEACH, FL 32547-3737
Phone number: 850-610-8820
Mailing Address
Mr. NICHOLAS ALEXANDER PUKISH PA-C
4440 FRUITVILLE RD
SARASOTA, FL 34232-1926
Phone number: 941-366-0134
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