MEDICARE: PAUL RAYMOND HEBIG 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
1	2084F0202X	Forensic Psychiatry Physician	ME97366	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1871765768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL RAYMOND HEBIG MD

Provider Business Mailing Address
First Line	:	827 18TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6481
Country	:	US
Telephone Number	:	772-925-8200
Fax Number	:	772-925-8199

Provider Business Practice Location Address
First Line	:	3723 10TH CT
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6559
Country	:	US
Telephone Number	:	772-492-3427
Fax Number	:	772-925-8194

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

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	06/02/2024

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