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NPI Code Detail

MEDICARE: MRS. SUSAN MARIE BUDOWSKY PA-C

MEDICARE: MRS. SUSAN MARIE BUDOWSKY PA-C
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
1363A00000XPhysician AssistantPA9101134FL

General Provider Information

NPI Number : 1447578448
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN MARIE BUDOWSKY PA-C
Provider Business Mailing Address
First Line : 603 N FLAMINGO RD
Second Line : SUITE 251
City : PEMBROKE PINES
State : FL
Zip : 33028-1023
Country : US
Telephone Number : 954-430-3999
Fax Number : 954-430-8999
Provider Business Practice Location Address
First Line : 1117 E HALLANDALE BEACH BLVD
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-4488
Country : US
Telephone Number : 954-454-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2010
Last Update Date : 12/19/2025

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Directions to “ MRS. SUSAN MARIE BUDOWSKY PA-C” Practice Location

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