MEDICARE: JEAN PAULIN

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	2279H0200X	Home Health Registered Respiratory Therapist	RT3446	FL

General Provider Information

NPI Number	:	1659744076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN PAULIN

Provider Business Mailing Address
First Line	:	6137 WAUCONDA WAY E
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-5867
Country	:	US
Telephone Number	:	561-309-8859
Fax Number	:

Provider Business Practice Location Address
First Line	:	6137 WAUCONDA WAY E
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-5867
Country	:	US
Telephone Number	:	561-309-8859
Fax Number	:

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

Provider Enumeration Date	:	11/06/2015
Last Update Date	:	11/06/2015

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Directions to “ JEAN PAULIN ” Practice Location

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