Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO4205 | FL |
NPI | 1093202699 |
---|---|
Provider Name | Dr. Michael Daniel Paula |
First Address | Doral, FL 33122-1902 |
Second Address | Miami, FL 33125-1653 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2018 |
Last Update Date | 28/07/2021 |