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NPI Code Detail

MEDICARE: DR. JOHN STEPHEN PAUL O.D.

MEDICARE:  DR. JOHN STEPHEN PAUL  O.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
1152W00000XOptometrist2094FL

General Provider Information

NPI Number : 1619091576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN STEPHEN PAUL O.D.
Provider Business Mailing Address
First Line : 198 RIDGE RD
Second Line :
City : JUPITER
State : FL
Zip : 33477-9652
Country : US
Telephone Number : 561-575-2595
Fax Number : 561-624-1021
Provider Business Practice Location Address
First Line : 3103 PGA BLVD
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-2801
Country : US
Telephone Number : 561-624-1760
Fax Number : 561-624-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN STEPHEN PAUL O.D.” Practice Location

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