Michael J. Buchanan, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

46086 Issued in FL

Legal business name

MICHAEL J. BUCHANAN, MD, PA

Practice address

3510 S Florida Ave
Suite 104
Lakeland, FL 33803-4874

Phone

(863) 644-2600

Fax

(863) 646-3293

NPI assigned

Jul 4, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael James Buchanan, M.D.

Title

President

Phone

(863) 644-2600

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1962409136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6084",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338076084",
            "telephone_number": "863-644-2600",
            "fax_number": "863-646-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 S FLORIDA AVE",
            "address_2": "SUITE 104",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034874",
            "telephone_number": "863-644-2600",
            "fax_number": "863-646-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. BUCHANAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-04",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-644-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "46086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Meyers
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• Michael F Agnini DDS
• Michael T. Coyle, DC, PA
• Michael Trabulsy
• Mikayla Michaels, LCSW
• Judy Michalski-Kuehnel, PT
• Andrew Joseph Michalsky, M.D.

• Internal Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.