Individual
DR. PAUL L YUDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12318 MCGREGOR WOODS CIR, FORT MYERS, FL 33908-2440
(239) 209-0669
Mailing address
12318 MCGREGOR WOODS CIR, FORT MYERS, FL 33908-2440
(239) 209-0669
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0059823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052480800
—
FL
01
—
11927W
MEDICARE
FL
01
—
K7665
MEDICARE GROUP
FL
01
—
P00232932
RR MEDICARE
FL
Enumeration date
08/22/2005
Last updated
01/03/2019
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