Individual
RALPH BADANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
(904) 346-0113
Mailing address
PO BOX 863026, ORLANDO, FL 32886-3026
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0037078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010016726
RRMCR
FL
05
—
069690100
—
FL
Enumeration date
05/03/2006
Last updated
01/24/2018
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