Dr. Paul David Sovran
Internist Geriatric Medicine
211 East Ruby Ave
Kissimme
, Florida 34741-5679
Dr. Paul David Sovran
Internist Geriatric Medicine
211 East Ruby Ave
Kissimme
, Florida 34741-5679
(407) 847-8622
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Paul David Sovran
- 211 East Ruby Ave
- Kissimme, FL
- Zip : 34741-5679
- Fax : (407) 847-8622
- Phone : (407) 847-3333
Second Address
- Dr. Paul David Sovran
- 211 East Ruby Ave
- Kissimme, FL
- Zip : 34741-5679
- Fax : (407) 847-8622
- Phone : (407) 847-3333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | ME039107 | FL |
| N | 111NI0900X | Internist | ME039107 | FL |
| Y | 207RG0300X | Geriatric Medicine | ME039107 | FL |
National Provider Identifier
| NPI | 1093710097 |
|---|---|
| Provider Name | Dr. Paul David Sovran |
| First Address | Kissimme, FL 34741-5679 |
| Second Address | Kissimme, FL 34741-5679 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 27/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 47471 | BCBS (01) | FL |
| D55072 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.