Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS 10422 | FL |
N | 208200000X | Surgeon | OS 10422 | FL |
N | 208600000X | Surgeon | OS 10422 | FL |
NPI | 1073559936 |
---|---|
Provider Name | Dr. Paul David Di Pasquale |
First Address | Wesley Chapel, FL 33544-6910 |
Second Address | Wesley Chapel, FL 33544-6910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 10/09/2021 |