Individual
CHARLES M BUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1306 NE 7TH TER, GAINESVILLE, FL 32601-3726
(352) 317-0788
Mailing address
1306 NE 7TH TER, GAINESVILLE, FL 32601-3726
(352) 317-0788
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292974100
—
FL
Enumeration date
11/29/2007
Last updated
07/06/2023
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