Individual
DR. PAUL STEPHEN JELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 N 35TH AVE, #590, HOLLYWOOD, FL 33021
(954) 963-7191
(954) 894-3320
Mailing address
1150 N 35TH AVE, #590, HOLLYWOOD, FL 33021
(954) 963-7191
(954) 894-3320
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME0022389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93115
BLUE CROSS
—
Enumeration date
08/14/2006
Last updated
09/27/2012
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