Individual
JULIA BUDDENDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-1784
(904) 202-1356
Mailing address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-1784
(904) 202-1356
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
99157
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/24/2021
Last updated
06/17/2024
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