Organization
PAUL J KALIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J KALIN (CEO)
(850) 863-1238
Entity
Organization
Contact information
Practice address
1013 MAR WALT DR, SUITE A, FORT WALTON BEACH, FL 32547-6723
(850) 863-1238
(850) 864-3338
Mailing address
1013 MAR WALT DR, SUITE A, FORT WALTON BEACH, FL 32547-6723
(850) 863-1238
(850) 864-3338
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029694500
—
FL
Enumeration date
12/28/2010
Last updated
12/28/2010
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