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Individual

DR. PAUL DAVID SOVRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME039107
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME039107
FL
2083A0100X
Aerospace Medicine Physician
ME039107
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
47471
BCBS
FL
Enumeration date
06/16/2005
Last updated
05/27/2011
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