Provider Demographics
NPI:1962153825
Name:M PAULO-FRANCISCO PODIATRY PA
Entity type:Organization
Organization Name:M PAULO-FRANCISCO PODIATRY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARYLOU
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULO-FRANCISCO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-809-7605
Mailing Address - Street 1:4765 W ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-3838
Mailing Address - Country:US
Mailing Address - Phone:561-453-2273
Mailing Address - Fax:561-536-5620
Practice Address - Street 1:4765 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-3838
Practice Address - Country:US
Practice Address - Phone:561-453-2273
Practice Address - Fax:561-536-5620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty