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NPI Code Detail

MEDICARE: JEAN C PAPILLON MD

MEDICARE:   JEAN C PAPILLON  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
1208100000XPhysical Medicine & Rehabilitation PhysicianME50434FL

General Provider Information

NPI Number : 1679537559
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN C PAPILLON MD
Provider Business Mailing Address
First Line : PO BOX 862851
Second Line :
City : ORLANDO
State : FL
Zip : 32886-2851
Country : US
Telephone Number : 954-847-4273
Fax Number : 954-847-4245
Provider Business Practice Location Address
First Line : 200 NW 7TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311
Country : US
Telephone Number : 954-759-6600
Fax Number : 954-759-6665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 07/08/2007

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Directions to “ JEAN C PAPILLON MD” Practice Location

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