Budnyk, Samuel A
Budnyk, Samuel A is an sole proprietor health care provider with primary practice located at 1225 Airport Rd , Destin FL 32541-2909. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Budnyk, Samuel A can be contacted via phone (850) 650-7606.Contact Information
Primary practice address
1225 Airport Rd
Destin FL 32541-2909
Phone: (850) 650-7606
Fax: (850) 337-1698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME61503 | Florida |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME61503 | Florida |
Profile Details
| NPI number | 1760413249 |
|---|---|
| LBN Legal business name | Budnyk, Samuel A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Oct 7th, 2021 - about 3 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 | 1760413249 | NPPES |
| Florida | MEDICAID | 376054500 | |
| Florida | Other | 25454 |
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