Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO00002245 | FL |
Y | 222Z00000X | Podiatrist | PO00002245 | FL |
NPI | 1003818543 |
---|---|
Provider Name | Dr. Paul Allan Sommer |
First Address | Boca Raton, FL 33486-3303 |
Second Address | Boca Raton, FL 33486-3303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 11/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T51378 | (02) | FL |