MEDICARE: PAUL G PRESTE MD & ASSOCIATES

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	16517	FL
2	207R00000X	Internal Medicine Physician	38476	FL

General Provider Information

NPI Number	:	1114074853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL G PRESTE MD & ASSOCIATES

Provider Business Mailing Address
First Line	:	3075 E COMMERCIAL BLVD
Second Line	:	STE 1A
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-4311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3075 E COMMERCIAL BLVD
Second Line	:	STE 1A
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-4311
Country	:	US
Telephone Number	:	954-491-6200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PAUL G PRESTE
Credential	:	M.D.
Telephone Number	:	954-491-6200

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	08/15/2022

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