Kristopher Jacques Paultre
Family Doctor Sports Medicine Orthopaedic Surgeon
13707 Sw 152nd St
Miami
, Florida 33177-1106
Kristopher Jacques Paultre
Family Doctor Sports Medicine Orthopaedic Surgeon
13707 Sw 152nd St
Miami
, Florida 33177-1106
(954) 732-8726
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About
Features
Specialties
- Family Doctor
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Kristopher Jacques Paultre
- 1111 Sw 1st Ave Apt 2620
- Miami, FL
- Zip : 33130-5408
- Phone : (954) 732-8726
Second Address
- Kristopher Jacques Paultre
- 13707 Sw 152nd St
- Miami, FL
- Zip : 33177-1106
- Phone : (305) 585-9200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | ME137411 | FL |
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME137411 | FL |
National Provider Identifier
| NPI | 1114381118 |
|---|---|
| Provider Name | Kristopher Jacques Paultre |
| First Address | Miami, FL 33130-5408 |
| Second Address | Miami, FL 33177-1106 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2016 |
| Last Update Date | 20/12/2021 |
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.