Charles M Bucci, PA-C
Physician Assistant, Medical in Gainesville, FL. Individual provider (NPI-1).
NPI number1831371004
StatusActive
Last updated in NPPESJul 6, 2023
Details
- NPI
- 1831371004
- Entity type
- Individual (NPI-1)
- Name
- Charles M Bucci
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2007
- Certification date
- Jul 6, 2023
- Last updated
- Jul 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA2123 | FL | Yes |
Practice location
1306 Ne 7th TerGainesville, FL 32601-3726
Phone 352-317-0788
Mailing address
1306 Ne 7th TerGainesville, FL 32601-3726
Phone 352-317-0788
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