Individual
PAOLA F TUMMINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
21967
SC
2084N0400X
Neurology Physician
Primary
ME109086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326373861
SHOALS PRIMARY CARE, LLC
AL
Enumeration date
06/17/2006
Last updated
12/19/2014
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