Individual
KRISTOPHER JACQUES PAULTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13707 SW 152ND ST, MIAMI, FL 33177-1106
(305) 585-9200
Mailing address
1111 SW 1ST AVE APT 2620, MIAMI, FL 33130-5408
(954) 732-8726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME137411
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME137411
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/06/2016
Last updated
12/20/2021
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