Provider Demographics
NPI:1194765719
Name:PAULDING, JOSEPH DEBOSE (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DEBOSE
Last Name:PAULDING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:812 SANDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-6251
Mailing Address - Country:US
Mailing Address - Phone:904-298-2757
Mailing Address - Fax:
Practice Address - Street 1:MALCOLM RANDALL VAMC
Practice Address - Street 2:1601 SW ARCHER ROAD
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:904-475-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS-7577207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLVAD0000Medicare UPIN