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NPI Code Detail

MEDICARE: PAULA A RYALS M.D.

MEDICARE: PAULA A RYALS M.D.
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
1207P00000XEmergency Medicine PhysicianME86506FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
137665OTHERFLBCBS

General Provider Information

NPI Number : 1700851060
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA A RYALS M.D.
Provider Business Mailing Address
First Line : PO BOX 550968
Second Line :
City : TAMPA
State : FL
Zip : 33655-0968
Country : US
Telephone Number : 800-377-8721
Fax Number : 304-523-2241
Provider Business Practice Location Address
First Line : 5900 COLLEGE RD
Second Line :
City : KEY WEST
State : FL
Zip : 33040-4342
Country : US
Telephone Number : 305-294-5531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 09/14/2007

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