=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659354280
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAUL M HYMAN MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/29/2005
-----------------------------------------------------
Last Update Date | 02/15/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 701 NW 13TH ST FL 2
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33486-2305
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-955-6400
-----------------------------------------------------
Fax | 561-955-6618
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24 E MAIN ST
-----------------------------------------------------
City | BAY SHORE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11706-8301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-666-6752
-----------------------------------------------------
Fax | 631-666-0684
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number | 120358
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number | 141797
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------