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Individual

DR. PAUL T BAKULE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D. P A

Contact information

Practice address
787 37TH ST, STE E130, VERO BEACH, FL 32960-7313
(772) 562-2524
(772) 562-2286
Mailing address
787 37TH ST, STE E130, VERO BEACH, FL 32960-7313
(772) 562-2524
(772) 562-2286

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME17740
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051040800
FL
01
31066
BLUE CROSS BLUE SHIELD
FL
01
340018891
MEDICARE RAILROAD
FL
Enumeration date
05/24/2005
Last updated
01/20/2010
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