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Organization

PAUL T. BAKULE, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEIDI HELLINGER (BILLING MANAGER)
(772) 562-2524
Entity
Organization

Contact information

Practice address
787 37TH ST STE E130, VERO BEACH, FL 32960-7313
(772) 562-2524
(772) 562-2286
Mailing address
787 37TH ST STE E130, VERO BEACH, FL 32960-7313
(772) 562-2524
(772) 562-2286

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME17740
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051040800
FL
Enumeration date
11/15/2012
Last updated
11/26/2012
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