Individual provider · Type 1 NPI

Neil Buckosh, PA

Medical Physician Assistant · Aventura, FL

NPI number 1457577025 Active

Practice location

21000 NE 28th Ave Ste 104
Aventura, FL 33180-1421

Fax (305) 931-2071

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA9104114 (FL)
Medical Physician Assistant Primary 363AM0700XPA9104114 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1457577025

Neil Buckosh, PA's National Provider Identifier is 1457577025, issued on Apr 18, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aventura, FL. The record was last updated on Oct 19, 2011.