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Organization
P.K.PAUL,M.D. PA
Active
Organization
P.K.PAUL,M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUDICHERY K PAUL M.D. (PRESIDENT)
(352) 799-3555
Entity
Organization
Contact information
Practice address
705 HARVARD ST, BROOKSVILLE, FL 34601-2842
(352) 799-3555
(352) 799-9299
Mailing address
705 HARVARD ST, BROOKSVILLE, FL 34601-2842
(352) 799-3555
(352) 799-9299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0037402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065645300
—
FL
Enumeration date
01/31/2011
Last updated
01/31/2011
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