Individual
CARLOS MANUEL PAISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 436-5000
Mailing address
PO BOX 160448, MIAMI, FL 33116-0448
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME51860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08699
BLUE CROSS OF FLORIDA
FL
05
—
371794100
—
FL
Enumeration date
07/16/2006
Last updated
07/06/2009
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