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NPI Code Detail

MEDICARE: PAULA CHURCH

MEDICARE: PAULA CHURCH
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
1363LF0000XFamily Nurse Practitioner11046122FL

General Provider Information

NPI Number : 1508709981
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA CHURCH
Provider Business Mailing Address
First Line : 306 SCRUB JAY AVE
Second Line :
City : SEBRING
State : FL
Zip : 33870-5956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4200 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-1986
Country : US
Telephone Number : 863-314-4466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2026
Last Update Date : 04/11/2026

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Directions to “ PAULA CHURCH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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