Individual
NICOLE CHANTAL DE PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6671 13TH AVE N STE 1D, ST PETERSBURG, FL 33710-5411
(727) 381-1147
(727) 345-2489
Mailing address
4033 TAMPA RD STE 101, OLDSMAR, FL 34677-3224
(813) 854-2003
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
267862
MA
208000000X
Pediatrics Physician
Primary
ME149199
FL
Other
Enumeration date
06/21/2016
Last updated
07/29/2021
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