MEDICARE: PAUL APPLEBY 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	208600000X	Surgery Physician	ME169386	FL
2	208600000X	Surgery Physician	0101272137	VA
3	208600000X	Surgery Physician	218627	NC

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	WB700	OTHER	FL	HFMG

General Provider Information

NPI Number	:	1366806242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL APPLEBY M.D.

Provider Business Mailing Address
First Line	:	14430 US HIGHWAY 1
Second Line	:
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3235
Country	:	US
Telephone Number	:	772-581-8003
Fax Number	:	772-581-8005

Provider Business Practice Location Address
First Line	:	14430 US HIGHTWAY 1
Second Line	:
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3289
Country	:	US
Telephone Number	:	772-581-8003
Fax Number	:	772-581-8005

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

Provider Enumeration Date	:	04/07/2016
Last Update Date	:	04/10/2026

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Directions to “ PAUL APPLEBY M.D.” Practice Location

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