Individual
PAUL M CAVALLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L-262966
MA
208600000X
Surgery Physician
Primary
ME163115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118966600
—
FL
01
—
GRFZG
BCBS
FL
Enumeration date
05/26/2015
Last updated
08/23/2023
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