Healthcare Provider Details

I. General information

NPI: 1730292095
Provider Name (Legal Business Name): DANIEL PHILIP PAOLI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 12/14/2010
Certification Date:
Deactivation Date: 07/17/2007
Reactivation Date: 11/17/2008

III. Provider practice location address

5201 RAYMOND ST ORLANDO VA MEDICAL CENTER
ORLANDO FL
32803-8208
US

IV. Provider business mailing address

5201 RAYMOND ST ORLANDO VA MEDICAL CENTER
ORLANDO FL
32803-8208
US

V. Phone/Fax

Practice location:
  • Phone: 321-397-6223
  • Fax:
Mailing address:
  • Phone: 321-397-6223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME77002
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberGO79497
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number187256
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberME77002
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberGO79497
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number187256
License Number StateNY
# 7
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG79497
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: