Budnick, Eliot Andrew
Budnick, Eliot Andrew is an sole proprietor health care provider with primary practice located at 451 Sw Bethany Dr Suite #102, Port St Lucie FL 34986-1964. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Budnick, Eliot Andrew can be contacted via phone (772) 202-2734.Contact Information
Primary practice address
451 Sw Bethany Dr Suite #102
Port St Lucie FL 34986-1964
Phone: (772) 202-2734
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5101015931 | Michigan |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | OS 10788 | Florida |
Profile Details
| NPI number | 1982857363 |
|---|---|
| LBN Legal business name | Budnick, Eliot Andrew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2008 |
| Last updated | May 30th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982857363 | NPPES |
| Florida | MEDICAID | 002276500 |
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