Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | ME75982 | FL |
NPI | 1053361386 |
---|---|
Provider Name | Dr. Paul D. Sawin |
First Address | Winter Park, FL 32789-4603 |
Second Address | Winter Park, FL 32789-4603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 21/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25572660 | (05) | FL |
G49266 | (02) | FL |