# FREDERICK ADOLF PAOLA MD JD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437852373
- **Authorized official:** ELIZABETH ROSS (CREDENTIALING MANAGER)
- **Authorized official phone:** (239) 732-1133

## Contact information

- **Practice address:** 6400 DAVIS BLVD STE 104, NAPLES, FL 34104-5321
- **Practice address phone:** (239) 624-0650
- **Mailing address:** 9636 MONTELANICO LOOP UNIT 204, NAPLES, FL 34119-2146
- **Mailing address phone:** (239) 595-4976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2023
- **Last updated:** 03/22/2023