Healthcare Provider Details

I. General information

NPI: 1538489299
Provider Name (Legal Business Name): PENELOPE PAULEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2010
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9582 W COLONIAL DR FL 2
OCOEE FL
34761-6992
US

IV. Provider business mailing address

9582 W COLONIAL DR FL 2
OCOEE FL
34761-6992
US

V. Phone/Fax

Practice location:
  • Phone: 407-537-7066
  • Fax: 407-632-1097
Mailing address:
  • Phone: 407-537-7066
  • Fax: 407-632-1097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberME 114671
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: