Individual
MR. NEIL BUCKOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
21000 NE 28TH AVE STE 104, AVENTURA, FL 33180-1421
(305) 937-1999
(305) 931-2071
Mailing address
21000 NE 28TH AVE STE 104, AVENTURA, FL 33180-1421
(305) 937-1999
(305) 931-2071
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104114
FL
363AS0400X
Surgical Physician Assistant
PA9104114
FL
Other
Enumeration date
04/18/2007
Last updated
10/19/2011
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