Individual
VIVIAN A BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 5TH ST S STE 306, ST PETERSBURG, FL 33701-4804
(727) 767-4170
(727) 767-4346
Mailing address
601 5TH ST S STE 306, ST PETERSBURG, FL 33701-4804
(727) 767-4170
(727) 767-4346
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9107045
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9107045
FL
Other
Enumeration date
01/23/2013
Last updated
07/21/2022
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