Individual
DR. SAMUEL A BUDNYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 AIRPORT RD, DESTIN, FL 32541-2909
(850) 650-7606
(850) 337-1698
Mailing address
1225 AIRPORT RD, DESTIN, FL 32541-2909
(850) 650-7606
(850) 337-1698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME61503
FL
207L00000X
Anesthesiology Physician
Primary
ME61503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25454
BCBS
FL
05
—
376054500
—
FL
Enumeration date
07/05/2006
Last updated
10/07/2021
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