Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME0059693 | FL |
Y | 207X00000X | Orthopaedic Surgeon | ME59693 | FL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME0059693 | FL |
NPI | 1811996473 |
---|---|
Provider Name | Dr. John A. Papa |
First Address | Winter Park, FL 32789-4984 |
Second Address | Winter Park, FL 32789-4984 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 24/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
055996200 | (05) | FL |
12662 | BC/BS (01) | FL |
200014785 | RAILROAD (01) | FL |
E47802 | (02) | FL |