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NPI Code Detail

MEDICARE: PAUL T DREYER MD

MEDICARE: PAUL T DREYER 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
1207RN0300XNephrology PhysicianME116056FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3390005526OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2390005526OTHERILBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194855528
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL T DREYER MD
Provider Business Mailing Address
First Line : 807 S ORLANDO AVE STE C
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4870
Country : US
Telephone Number : 407-894-4693
Fax Number : 407-261-3869
Provider Business Practice Location Address
First Line : 4 E CLARK BASS BLVD STE 203
Second Line :
City : MCALESTER
State : OK
Zip : 74501-4285
Country : US
Telephone Number : 918-420-1238
Fax Number : 800-284-0102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 01/23/2026

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Directions to “ PAUL T DREYER MD” Practice Location

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