Healthcare Provider Details

I. General information

NPI: 1588082846
Provider Name (Legal Business Name): DAVID BUZAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 2ND ST
NEENAH WI
54956-2883
US

IV. Provider business mailing address

11380 PROSPERITY FARMS RD STE 204
PALM BEACH GARDENS FL
33410-3477
US

V. Phone/Fax

Practice location:
  • Phone: 920-729-2104
  • Fax:
Mailing address:
  • Phone: 351-624-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number13639
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number01097661B
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberME146457
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number13639
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: