Pukish, Nicholas Alexander

Pukish, Nicholas Alexander is an individual health care provider with primary practice located at 1825 Hurlburt Rd Ste 14 , Fort Walton Beach FL 32547-3737. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Pukish, Nicholas Alexander can be contacted via phone (850) 610-8820.

Contact Information

Primary practice address
1825 Hurlburt Rd Ste 14 Fort Walton Beach FL 32547-3737
Phone: (850) 610-8820
Fax: (844) 297-8690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 9100880 Florida

Profile Details

NPI number 1073539771
LBN Legal business name Pukish, Nicholas Alexander
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 27th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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