Individual
DIANA BUDNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6111
Mailing address
601 1ST ST S APT 2H, JACKSONVILLE BEACH, FL 32250-6657
(904) 477-7076
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
9452553
FL
363L00000X
Nurse Practitioner
Primary
11012166
FL
Other
Enumeration date
12/20/2020
Last updated
03/17/2021
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