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NPI Code Detail

MEDICARE: DR. DAVID MICHAEL PAUL MD

MEDICARE:  DR. DAVID MICHAEL PAUL  MD
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
1207Q00000XFamily Medicine PhysicianME105455FL

General Provider Information

NPI Number : 1124355250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MICHAEL PAUL MD
Provider Business Mailing Address
First Line : 11291 BARCA BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-4074
Country : US
Telephone Number : 561-292-1940
Fax Number : 561-364-7764
Provider Business Practice Location Address
First Line : 2020 NE 48TH CT
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-4522
Country : US
Telephone Number : 954-564-0062
Fax Number : 954-335-1837
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2009
Last Update Date : 03/22/2010

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Directions to “ DR. DAVID MICHAEL PAUL MD” Practice Location

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