Individual
JEAN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 KNUTH RD STE 222, BOYNTON BEACH, FL 33436-4636
(561) 403-3760
(561) 412-0091
Mailing address
200 KNUTH RD STE 222, BOYNTON BEACH, FL 33436-4636
(561) 403-3760
(561) 412-0091
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
VH4585
FL
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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