Individual
DR. PAUL A BEDNARZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 PARK AVE, SUITE 101-B, ORANGE PARK, FL 32073-5572
(904) 264-0088
(904) 264-3302
Mailing address
2300 PARK AVE, SUITE 101-B, ORANGE PARK, FL 32073-5572
(904) 264-0088
(904) 264-3302
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME66295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00706593B
—
GA
01
—
210030
AVMED
FL
01
—
25524
BCBS
FL
05
—
376830900
—
FL
01
—
4603380
AETNA
FL
Enumeration date
05/23/2005
Last updated
05/28/2014
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