MEDICARE: TREVOR H PARIS 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	208100000X	Physical Medicine & Rehabilitation Physician	ME95313	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00304115	OTHER	FL	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1861434466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREVOR H PARIS M.D.

Provider Business Mailing Address
First Line	:	3599 UNIVERSITY BLVD S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4252
Country	:	US
Telephone Number	:	904-858-7606
Fax Number	:	904-858-7610

Provider Business Practice Location Address
First Line	:	3901 UNIVERSITY BLVD S
Second Line	:	SUITE 103
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4377
Country	:	US
Telephone Number	:	904-858-7606
Fax Number	:	904-858-7610

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

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	08/07/2008

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Directions to “ TREVOR H PARIS M.D.” Practice Location

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