Individual
PAUL I HOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 NW 2ND AVE, SUITE 401, BOCA RATON, FL 33431-4878
(561) 544-1666
(561) 544-1665
Mailing address
4700 NW 2ND AVE, SUITE 401, BOCA RATON, FL 33431-4878
(561) 544-1666
(561) 544-1665
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME35827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K9807
GROUP NUMBER
FL
Enumeration date
05/31/2006
Last updated
09/09/2008
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