MICHAEL A BANUCHI

VENICE, FL
NPI1851472187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9102654)
Enumeration Date2006-10-17
Last Update Date2015-06-30
Business Address
-- MICHAEL A BANUCHI PA-C
1295 JACARANDA BLVD.
VENICE, FL 34292-4522
Phone number: 941-484-1510
Mailing Address
-- MICHAEL A BANUCHI PA-C
15051 S. TAMIAMI TRAIL SUITE 203
FORT MYERS, FL 33908
Phone number: 239-437-8810
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