Provider Demographics
NPI:1588986632
Name:SINCLAIR, PAULA ROSALEE (MA)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:ROSALEE
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8052 NW 15TH MNR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-5442
Mailing Address - Country:US
Mailing Address - Phone:954-628-2256
Mailing Address - Fax:954-727-3164
Practice Address - Street 1:9715 W BROWARD BLVD # 107
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2351
Practice Address - Country:US
Practice Address - Phone:954-628-2256
Practice Address - Fax:954-727-3164
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13A-09-00003448372600000X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide