Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME152076 | FL |
N | 111NI0900X | Internist | ME152076 | FL |
Y | 207RA0201X | Internist - Allergy & Immunology | ME152076 | FL |
NPI | 1609215037 |
---|---|
Provider Name | Dr. Misu Paul |
First Address | Gainesville, FL 32610-0227 |
Second Address | Mineola, NY 11501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2013 |
Last Update Date | 17/09/2021 |