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NPI Code Detail

MEDICARE: DR. PAMELA PAPOLA M.D.

MEDICARE: DR. PAMELA PAPOLA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianME63518FL
22080P0008XPediatric Neurodevelopmental Disabilities PhysicianME63518FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
171336OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083608475
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA PAPOLA M.D.
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 941-235-4900
Fax Number : 239-343-4080
Provider Business Practice Location Address
First Line : 22655 BAYSHORE RD STE 110
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33980-2005
Country : US
Telephone Number : 941-235-4900
Fax Number : 941-235-4901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 06/27/2024

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Directions to “ DR. PAMELA PAPOLA M.D.” Practice Location

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