MEDICARE: LOUIS M PAOLILLO 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	207V00000X	Obstetrics & Gynecology Physician	ME43473	FL

General Provider Information

NPI Number	:	1871660506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS M PAOLILLO M. D.

Provider Business Mailing Address
First Line	:	1010 JEFFORDS ST
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-4024
Country	:	US
Telephone Number	:	727-446-9100
Fax Number	:	727-446-9900

Provider Business Practice Location Address
First Line	:	1010 JEFFORDS ST
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-4024
Country	:	US
Telephone Number	:	727-446-9100
Fax Number	:	727-446-9900

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

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	07/08/2007

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