Individual
DR. KARL D BODENDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME78478
FL
207W00000X
Ophthalmology Physician
Primary
ME78478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001933700
—
FL
05
—
259120100
—
FL
05
—
259120101
—
FL
01
—
35612A
BC/BS
FL
01
—
P00087109
RAILROAD MEDICARE
FL
Enumeration date
08/31/2006
Last updated
04/02/2025
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