Individual
PAUL HUNTER SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1485 37TH ST, SUITE 107, VERO BEACH, FL 32960-6500
(772) 569-9745
(772) 567-6868
Mailing address
1485 37TH ST, SUITE 107, VERO BEACH, FL 32960-6500
(772) 569-9745
(772) 567-6868
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0042251
FL
2085R0204X
Vascular & Interventional Radiology Physician
31178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047196800
—
FL
Enumeration date
07/19/2005
Last updated
01/12/2010
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