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
1	363A00000X	Physician Assistant	PA9101134	FL

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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