Individual
LAURA M PAOLILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.
Contact information
Practice address
432 2ND ST S, JACKSONVILLE BEACH, FL 32250-6764
(904) 476-1652
Mailing address
432 2ND ST S, JACKSONVILLE BEACH, FL 32250-6764
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 1238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0764
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/02/2011
Last updated
06/02/2011
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