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NPI Code Detail

MEDICARE: PAULENE MARIE MODINA SOLIS CAA

MEDICARE: PAULENE MARIE MODINA SOLIS CAA
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
1367H00000XAnesthesiologist AssistantAA946FL

General Provider Information

NPI Number : 1841057569
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULENE MARIE MODINA SOLIS CAA
Provider Business Mailing Address
First Line : 9829 INTELLECT TRL
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-8193
Country : US
Telephone Number : 850-228-7846
Fax Number :
Provider Business Practice Location Address
First Line : 1 SHIRCLIFF WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4748
Country : US
Telephone Number : 904-308-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2024
Last Update Date : 03/11/2026

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Directions to “ PAULENE MARIE MODINA SOLIS CAA” Practice Location

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