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Individual

GARY LEE BADZINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 769-8341
Mailing address
19011 SE OUTRIGGER LN, JUPITER, FL 33458-1083
(918) 978-6977

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2017-00150
NC
207RC0000X
Cardiovascular Disease Physician
3416
OK
207RC0000X
Cardiovascular Disease Physician
Primary
OS9663
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100088510A
OK
Enumeration date
06/21/2005
Last updated
05/06/2025
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