Bednarzyk, Paul A

Bednarzyk, Paul A is an individual health care provider with primary practice located at 2300 Park Ave Suite 101-B, Orange Park FL 32073-5572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bednarzyk, Paul A can be contacted via phone (904) 264-0088.

Contact Information

Primary practice address
2300 Park Ave Suite 101-B Orange Park FL 32073-5572
Phone: (904) 264-0088
Fax: (904) 264-3302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME66295 Florida

Profile Details

NPI number 1194728303
LBN Legal business name Bednarzyk, Paul A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 28th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194728303 NPPES
Florida Other 25524 BCBS
Florida Other 4603380 BCBS
Florida Other 210030 BCBS
Florida MEDICAID 376830900 BCBS
Florida MEDICAID 00706593B BCBS

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