Individual
MR. PAUL R QUALLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
586 MERRITT MORNING WAY APT 206, ALTAMONTE SPRINGS, FL 32701-2876
(843) 213-8131
(407) 795-0412
Mailing address
586 MERRITT MORNING WAY APT 206, ALTAMONTE SPRINGS, FL 32701-2876
(843) 213-8131
(407) 795-0412
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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