Provider Demographics
NPI:1306882576
Name:PAESE, GIUSEPPE GABRIELE (DO)
Entity type:Individual
Prefix:DR
First Name:GIUSEPPE
Middle Name:GABRIELE
Last Name:PAESE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 N OCEAN BLVD APT 1801
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-7192
Mailing Address - Country:US
Mailing Address - Phone:248-797-4234
Mailing Address - Fax:
Practice Address - Street 1:2900 N MILITARY TRAIL SUITE 201 SOUTH
Practice Address - Street 2:SUITE 201 SOUTH
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6308
Practice Address - Country:US
Practice Address - Phone:954-458-1199
Practice Address - Fax:877-859-4440
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11247208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
270949204OtherBLUE CROSS
MIH41093Medicare UPIN
MI4545311Medicaid