Individual
MRS. PAULA ADELLE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3048 SILVER PALM DR., SUITE B, EDGEWATER, FL 32141
(386) 209-8634
(321) 473-3689
Mailing address
3048 SILVER PALM DR., SUITE B, EDGEWATER, FL 32141
(386) 209-8634
(321) 473-3689
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
OS8438
FL
208D00000X
General Practice Physician
Primary
058438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1233023
—
IA
Enumeration date
09/29/2005
Last updated
03/22/2023
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