MR. Nicholas Alexander Pukish, PA-C is a medical physician assistant in Fort Walton Beach, FL with 29 years of experience. MR. Nicholas Alexander Pukish, PA-C NPI is 1073539771. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1825 HURLBURT RD STE 14
FORT WALTON BEACH, FL
ZIP 32547-737
Phone: (850) 610-8820
Fax: (844) 297-8690
The NPI 1073539771 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/14/2006 and was last updated on 1/27/2020.