Provider Demographics
NPI:1376701029
Name:BUDA, CATALIN (MD)
Entity Type:Individual
Prefix:
First Name:CATALIN
Middle Name:
Last Name:BUDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12751 WESTLINKS DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8615
Mailing Address - Country:US
Mailing Address - Phone:239-744-2300
Mailing Address - Fax:
Practice Address - Street 1:12751 WESTLINKS DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-8615
Practice Address - Country:US
Practice Address - Phone:305-350-6989
Practice Address - Fax:239-744-2300
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME152030207QS0010X
CAA113156207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME152030Medicaid
CA00A1131560Medicaid