Healthcare Provider Details

I. General information

NPI: 1346249513
Provider Name (Legal Business Name): MARYLOU PAULO-FRANCISCO D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 LINTON BLVD F117
DELRAY BEACH FL
33445-6584
US

IV. Provider business mailing address

10941 HAYDN DR
BOCA RATON FL
33498-6751
US

V. Phone/Fax

Practice location:
  • Phone: 561-499-5151
  • Fax: 461-499-6077
Mailing address:
  • Phone: 561-809-7605
  • Fax: 561-498-7626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO 2608
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: