Individual
DR. PAUL J. CIMOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(714) 206-6868
(772) 468-4497
Mailing address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(714) 206-6868
(772) 468-4497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME154455
FL
208M00000X
Hospitalist Physician
Primary
ME154455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093793853
—
WI
05
—
A460880562
—
CA
01
—
WA46088C
MEDICARE PTAN
CA
Enumeration date
01/03/2006
Last updated
09/13/2024
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