Individual
PAULLA MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.C.P.
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 815-7548
Mailing address
29370 BRYAN WAY, PUNTA GORDA, FL 33982-8242
(941) 815-7548
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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