Individual
MICHAEL DAVID PUCHALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-3333
Mailing address
PO BOX 581100, SALT LAKE CITY, UT 84158-1100
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
341951-1205
UT
2080P0202X
Pediatric Cardiology Physician
Primary
ME146696
FL
Other
Enumeration date
11/03/2006
Last updated
01/11/2022
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