MEDICARE: VERLANDA PAUL 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
1	363A00000X	Physician Assistant	002704-P.A.	PR

General Provider Information

NPI Number	:	1932063963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERLANDA PAUL PA

Provider Business Mailing Address
First Line	:	12224 HIGH ROCK WAY
Second Line	:
City	:	PARRISH
State	:	FL
Zip	:	34219-2333
Country	:	US
Telephone Number	:	941-592-1982
Fax Number	:

Provider Business Practice Location Address
First Line	:	12224 HIGH ROCK WAY
Second Line	:
City	:	PARRISH
State	:	FL
Zip	:	34219-2333
Country	:	US
Telephone Number	:	941-592-1982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ VERLANDA PAUL PA” Practice Location

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