Healthcare Provider Details

I. General information

NPI: 1093202699
Provider Name (Legal Business Name): MICHAEL DANIEL PAULA DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 NW 14TH ST STE 203
MIAMI FL
33125-1653
US

IV. Provider business mailing address

8200 NW 27TH ST STE 108
DORAL FL
33122-1902
US

V. Phone/Fax

Practice location:
  • Phone: 305-326-3338
  • Fax: 305-326-3339
Mailing address:
  • Phone: 786-662-3839
  • Fax: 786-662-3899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO4205
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO4205
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: