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NPI Code Detail

MEDICARE: MRS. PAULA MARIE BOYLE RN,BSN,CWCN

MEDICARE: MRS. PAULA MARIE BOYLE RN,BSN,CWCN
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
1163WW0000XWound Care Registered Nurse937612FL

General Provider Information

NPI Number : 1427140987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAULA MARIE BOYLE RN,BSN,CWCN
Provider Business Mailing Address
First Line : 2533 VICTARRA CIR
Second Line :
City : LUTZ
State : FL
Zip : 33559-3708
Country : US
Telephone Number : 813-978-5956
Fax Number : 813-978-5968
Provider Business Practice Location Address
First Line : 13000 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-4745
Country : US
Telephone Number : 813-078-5956
Fax Number : 813-978-5968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 04/12/2026

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