Individual
PAUL R IRRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5400 PARK CENTRAL CT, NAPLES, FL 34109-5923
(239) 593-7000
(239) 593-7008
Mailing address
5400 PARK CENTRAL CT, SUITE 2, NAPLES, FL 34109-6001
(239) 593-7000
(239) 593-7008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0065935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26236
BLUECROSSBLUESHIELD
FL
05
—
376380300
—
FL
Enumeration date
06/13/2005
Last updated
10/17/2022
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