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General NPI Number Information
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NPI Number | 1477879229
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Entity Type | Individual
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Provider Name | PAUL MICHAEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2010
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 4240 SUN N LAKE BLVD STE 202
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City | SEBRING
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State | FL
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Zip | 33872-1944
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Country | US
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Telephone | 863-471-3926
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Fax | 863-385-3093
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Provider Business Mailing Address
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Address Line | 4240 SUN N LAKE BLVD STE 202
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City | SEBRING
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State | FL
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Zip | 33872-1944
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Country | US
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Telephone | 863-471-3926
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Fax | 863-385-3093
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME124220
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME124220
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME124220
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License Number State | FL
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