Michael J. Buchanan, MD, PA
Internal Medicine in Lakeland, FL. Organization (NPI-2).
NPI number1962409136
StatusActive
Last updated in NPPESOct 22, 2007
Details
- NPI
- 1962409136
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael J. Buchanan, MD, PA
- Organization subpart
- No
- Enumeration date
- Jul 4, 2005
- Last updated
- Oct 22, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 46086 | FL | Yes |
Practice location
3510 S Florida AveSuite 104
Lakeland, FL 33803-4874
Phone 863-644-2600 · Fax 863-646-3293
Mailing address
Po Box 6084Lakeland, FL 33807-6084
Phone 863-644-2600 · Fax 863-646-3293
Authorized official
Michael James Buchanan
President
8636442600
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