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Individual

PAUL R. BIGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1223 GATEWAY DRIVE, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 409-1786
Mailing address
65 EAST NASA BLVD., SUITE 202, MELBOURNE, FL 32901
(321) 733-0663
(321) 409-1786

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME41416
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080104964
RAILROAD MEDICARE
FL
01
0809703
AETNA
FL
01
26867
BLUE CROSS BLUE SHIELD
FL
05
378230100
FL
01
5146027
AETNA
FL
01
9908451
CIGNA
FL
Enumeration date
11/08/2005
Last updated
10/01/2009
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