MEDICARE: MADELYN PAREDES 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
1	207Q00000X	Family Medicine Physician	ME98317	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31067	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1093874174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELYN PAREDES M.D.

Provider Business Mailing Address
First Line	:	3015 S CONGRESS AVE STE 4
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2111
Country	:	US
Telephone Number	:	561-838-7785
Fax Number	:	561-631-8513

Provider Business Practice Location Address
First Line	:	3015 S CONGRESS AVE STE 4
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2111
Country	:	US
Telephone Number	:	561-838-7785
Fax Number	:	561-631-8513

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	08/03/2022

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Directions to “ MADELYN PAREDES M.D.” Practice Location

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