Provider Demographics
NPI:1396070728
Name:DEWITT, PAUL L (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:L
Last Name:DEWITT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7894 LANTANA CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-3043
Mailing Address - Country:US
Mailing Address - Phone:727-393-5141
Mailing Address - Fax:727-392-4149
Practice Address - Street 1:7894 LANTANA CREEK RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-3043
Practice Address - Country:US
Practice Address - Phone:727-393-5141
Practice Address - Fax:727-392-4149
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 26882208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)