Healthcare Provider Details

I. General information

NPI: 1922063171
Provider Name (Legal Business Name): PAAVO KALEVI SOILA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 02/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 PONCE DE LEON BLVD SUITE 100
CORAL GABLES FL
33146-2111
US

IV. Provider business mailing address

1111 CRANDON BLVD APT B501
KEY BISCAYNE FL
33149-2760
US

V. Phone/Fax

Practice location:
  • Phone: 786-219-3145
  • Fax: 786-219-3155
Mailing address:
  • Phone: 305-365-8088
  • Fax: 305-574-8230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME37983
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: