Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael A Banuchi, PA-C

Individual provider Physician Assistant · NPI 1851472187

Michael A Banuchi, PA-C is a Physician Assistant in Venice, Florida. Qualified in 2002, 24 years ago. Practices with Aqua Dermatology of Florida, PA, a 184-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1295 Jacaranda Blvd
Venice, FL 34292-4522
Phone: (941) 484-1510
Fax: (941) 484-1071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9102654 (FL)

Record details

NPI number1851472187
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJune 30, 2015
Mailing address15051 S. Tamiami Trail, Suite 203, Fort Myers, FL 33908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Aqua Dermatology Of Florida, Pa — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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