Individual
DR. PAUL S PANZARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 CONCOURSE PKWY S STE 200, MAITLAND, FL 32751
(407) 644-4014
(407) 644-5270
Mailing address
401 COMMERCE ST STE 600, NASHVILLE, TN 37219-2518
(615) 843-4102
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME130479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134825J
—
GA
05
—
003134825K
—
GA
05
—
020083700
—
FL
Enumeration date
08/24/2011
Last updated
06/19/2018
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