Healthcare Provider Details

I. General information

NPI: 1356388573
Provider Name (Legal Business Name): PAUL E. MAGALEE CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W OAK ST
KISSIMMEE FL
34741-4924
US

IV. Provider business mailing address

150 E LAKESHORE BLVD
KISSIMMEE FL
34744-5103
US

V. Phone/Fax

Practice location:
  • Phone: 407-846-2266
  • Fax:
Mailing address:
  • Phone: 407-932-2859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2197622
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: