Provider Demographics
NPI:1194429936
Name:DUBOV, PAULINA ANDREA (FNP-C)
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:ANDREA
Last Name:DUBOV
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14572 WHITE JADE TER
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2230
Mailing Address - Country:US
Mailing Address - Phone:561-504-4586
Mailing Address - Fax:
Practice Address - Street 1:14572 WHITE JADE TER
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-2230
Practice Address - Country:US
Practice Address - Phone:561-504-4586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11025469363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily