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NPI Code Detail

MEDICARE: PAUL J BEFANIS MD PA

MEDICARE: PAUL J BEFANIS MD PA
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
1332H00000XEyewear Supplier

Other Identifiers

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

General Provider Information

NPI Number : 1750595344
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL J BEFANIS MD PA
Provider Business Mailing Address
First Line : 665 S APOLLO BLVD
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-1485
Country : US
Telephone Number : 321-984-3200
Fax Number :
Provider Business Practice Location Address
First Line : 1091 PORT MALABAR BLVD NE
Second Line : SUITE 2
City : PALM BAY
State : FL
Zip : 32905-5100
Country : US
Telephone Number : 321-676-1700
Fax Number : 321-952-3878
Authorized Official
Title or Position : OWNER
Name : DR. PAUL J BEFANIS
Credential : MD
Telephone Number : 321-984-3200
Provider Enumeration Date : 05/10/2007
Last Update Date : 06/03/2008

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