MEDICARE: MR. PAUL J. PAGANO 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	207X00000X	Orthopaedic Surgery Physician	ME116721	FL
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	ME116721	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1215930912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL J. PAGANO M.D.

Provider Business Mailing Address
First Line	:	5901 E FOWLER AVE STE 100
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33617-2305
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:

Provider Business Practice Location Address
First Line	:	10051 5TH ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33702-2289
Country	:	US
Telephone Number	:	727-527-5272
Fax Number	:

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	12/04/2025

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