Individual
DR. PAUL J EASTVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102
(813) 263-5107
Mailing address
2555 PONCE DE LEON BLVD, 4TH FLOOR, CORAL GABLES, FL 33134
(305) 702-5135
(305) 441-2144
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
83343
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262862700
—
FL
Enumeration date
02/15/2006
Last updated
09/08/2014
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