Individual
PHILIP PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13101 S DIXIE HWY STE 320, MIAMI, FL 33156
(305) 253-5585
(305) 253-5679
Mailing address
13101 S DIXIE HWY STE 320, MIAMI, FL 33156-6530
(305) 253-5585
(305) 253-5679
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0020383
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205003
AVMED
FL
05
—
375790100
—
FL
01
—
92133
BCBS
FL
Enumeration date
10/03/2005
Last updated
08/07/2018
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