Individual
J PAUL MAHFOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
549 NW LAKE WHITNEY PL, SUITE 101, PORT ST LUCIE, FL 34986-1606
(772) 879-2228
(772) 879-2208
Mailing address
549 NW LAKE WHITNEY PL, SUITE 101, PORT ST LUCIE, FL 34986-1606
(772) 879-2228
(772) 879-2208
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME 65617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280671100
—
FL
Enumeration date
06/19/2006
Last updated
12/09/2011
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