MICHAEL A BANUCHI
Physician Assistant at Tamiami Trl, Fort Myers, FL

License number
Florida 9102654
Issued Date
Nov 10, 2003
Effective Date
Nov 10, 2003
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address 2
15051 S Tamiami Trl SUITE 203, Fort Myers, FL 33908
1295 Jacaranda Blvd, Venice, FL 34292
Phone
(239) 437-8810
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
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Phone
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1184 SW 18Th St, Boca Raton, FL 33486
(561) 866-0456
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333 Eastwood Ter, Boca Raton, FL 33431
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18465 Tapadero Ter, Boca Raton, FL 33496
(561) 477-6165
Michael A Banuchi, age 53
1184 18Th St, Boca Raton, FL 33486
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