Provider Demographics
NPI:1205633526
Name:BUECHE, CAROLINE FRANCES (PA-C)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:FRANCES
Last Name:BUECHE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 W CANTON AVE STE G100
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3050
Mailing Address - Country:US
Mailing Address - Phone:407-901-4086
Mailing Address - Fax:
Practice Address - Street 1:1030 W CANTON AVE STE G100
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3050
Practice Address - Country:US
Practice Address - Phone:407-901-4086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNA207RH0003X
FLPA9119992363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL126265700Medicaid