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NPI Code Detail

MEDICARE: DOUGLAS R BUDDE JR. MD

MEDICARE:   DOUGLAS R BUDDE JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician10543NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2GD340ZOTHERNVMEDICARE PTAN
3CI7026OTHERNVGROUP RAILROAD MEDICARE
4P00054854OTHERNVRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457321580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS R BUDDE JR. MD
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 725-220-8667
Fax Number : 833-749-0353
Provider Business Practice Location Address
First Line : 915 S RAINBOW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-6230
Country : US
Telephone Number : 725-220-8667
Fax Number : 833-749-0353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 02/25/2025

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Directions to “ DOUGLAS R BUDDE JR. MD” Practice Location

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