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General NPI Number Information
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NPI Number | 1164490462
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Entity Type | Organization
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Legal Business Name | JOANNE L BUJNOSKI DO PA
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 1717 N E ST SUITE 134
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City | PENSACOLA
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State | FL
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Zip | 32501-6339
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Country | US
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Telephone | 850-429-7368
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18480
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City | PENSACOLA
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State | FL
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Zip | 32523-8480
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Country | US
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Telephone | 850-429-7368
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOANNE L BUJNOSKI
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Credential | DO
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Telephone | 850-429-7368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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