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NPI Code Detail

MEDICARE: PAUL E BOOR MD

MEDICARE: PAUL E BOOR MD
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
1207Q00000XFamily Medicine PhysicianME58522FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME58522OTHERFLMEDICAL LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689634941
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL E BOOR MD
Provider Business Mailing Address
First Line : 1580 SANTA BARBARA BLVD
Second Line :
City : THE VILLAGES
State : FL
Zip : 32159-6827
Country : US
Telephone Number : 352-259-2159
Fax Number : 352-259-5731
Provider Business Practice Location Address
First Line : 1580 SANTA BARBARA BLVD
Second Line :
City : THE VILLAGES
State : FL
Zip : 32159-6827
Country : US
Telephone Number : 352-259-2159
Fax Number : 352-259-5731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 03/07/2023

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Directions to “ PAUL E BOOR MD” Practice Location

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