Individual
ELIOT ANDREW BUDNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
451 SW BETHANY DR, SUITE #102, PORT ST LUCIE, FL 34986-1964
(772) 202-2734
Mailing address
451 SW BETHANY DR, SUITE #102, PORT ST LUCIE, FL 34986-1964
(772) 202-2734
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101015931
MI
2085R0202X
Diagnostic Radiology Physician
OS 10788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002276500
—
FL
Enumeration date
10/29/2008
Last updated
05/30/2013
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