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Individual
MR. PAUL ROBERT BUCHANAN
Active
Individual
MR. PAUL ROBERT BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102522
FL
363AM0700X
Medical Physician Assistant
PA9102522
FL
363AS0400X
Surgical Physician Assistant
PA9102522
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002603000
—
FL
01
—
002876700
GROUP MEDICAID
FL
Enumeration date
01/31/2006
Last updated
09/24/2024
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