Individual
ALEXANDRA MARIE PUCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3650 COLONIAL CT, FORT MYERS, FL 33913-6636
(239) 274-6070
Mailing address
17343 GULF PRESERVE DR, FORT MYERS, FL 33908
(407) 451-9950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9119405
FL
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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