Individual
DR. JOHN BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084305900
—
FL
01
—
421588508
TAX ID
FL
01
—
796
FLORDIA LIC NUMBER
FL
Enumeration date
02/21/2007
Last updated
02/11/2011
Update your record
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