Individual
MICHAEL BUCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
(813) 844-7000
Mailing address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D95333
MD
207P00000X
Emergency Medicine Physician
Primary
MD19285
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2019
Last updated
08/02/2023
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