Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME79342 | FL |
N | 207YP0228X | Pediatric Otolaryngology | ME79342 | FL |
NPI | 1043290950 |
---|---|
Provider Name | Mrs. Paula B Pyle |
First Address | Sarasota, FL 34243-2894 |
Second Address | Venice, FL 34285-2617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 28/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
260383700 | (05) | FL |
F01864 | (02) |