person
Ralph Badanowski, MD
General Practice Physician in Jacksonville, Florida
NPI 1205894508

Ralph Badanowski is a General Practice Physician based in Orlando, FL. Ralph Badanowski practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Ralph Badanowski is 1205894508 and holds a License No. ME0037078 (Florida).

The current practice location address for Ralph Badanowski is 1 Shircliff Way, Jacksonville, FL and can be reached out via phone at 904-308-7300 and via fax at 904-346-0113.

Location: 1 Shircliff Way, Jacksonville, FL, 32886-3026
person
Provider Profile Details
NPI Number
1205894508
Provider Name
Ralph Badanowski
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Shircliff Way, Jacksonville, FL, 32886-3026
Phone Number
904-308-7300
Fax Number
904-346-0113
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010016726 01 FL RRMCR
069690100 05 FL
institution
Provider Business Practice Location Address Details
Address
1 Shircliff Way
City
State
Zip
32204-4748
Phone Number
904-308-7300
Fax Number
904-346-0113
person
Provider Business Mailing Address Details
Address
1 Shircliff Way
City
State
Zip
32204-4748
Phone Number
904-308-7300
Fax Number
904-346-0113
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME0037078 (Florida)
Definition
Definition to come...
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