Paul David Sovran in Kissimme - Aerospace Medicine
Paul David Sovran - NPI 1093710097
Paul David Sovran is a Aerospace Medicine in Kissimme, Florida. Paul David Sovran practices all healthcare services and medical treatments related to Aerospace Medicine. The NPI Number for Paul David Sovran is 1093710097. The last update date is 2011-05-27.
Paul David Sovran's current location address is 211 East Ruby Ave, Kissimme, Florida. You can contact this provider via phone number 4078473333 and fax number 4078478622. The mailing address for Paul David Sovran is 211 East Ruby Ave, Kissimme, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul David Sovran |
|---|---|
| Address | 211 East Ruby Ave, Kissimme, Florida |
| Phone Number | 4078473333 |
| Fax Number | 4078478622 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093710097 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2011-05-27 |
Provider Mailing Address Detail
| Address | 211 East Ruby Ave |
|---|---|
| City | Kissimme |
| State | Florida (FL) |
| Post Code | 3474156790 |
| Phone Number | 4078473333 |
| Fax Number | 4078478622 |
Provider's Primary Taxonomy Detail
| Speciality | Aerospace Medicine |
|---|---|
| Taxonomy | 2083A0100X |
| Licence No | ME039107 |
|
Definition: Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47471 | FL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Paul David Sovran by the Centers for Medicare & Medicaid Services?
The Paul David Sovran has been assigned the NPI (National Provider Identifier) 1093710097. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Paul David Sovran is physically located?
The Paul David Sovran is physically situated at the following address: 211 East Ruby Ave, Kissimme, FL, 3474156790.
What is the Paul David Sovran's specialty and taxonomy code?
The Paul David Sovran's specialty is Aerospace Medicine, and the corresponding taxonomy code is 2083A0100X.
When did Paul David Sovran receive its 1093710097 assignment?
The Paul David Sovran was assigned its 1093710097 on 2005-06-16, which is the date when this unique identifier was issued to the organization.
When was the information related to Paul David Sovran most recently updated or refreshed?
The details pertaining to the Paul David Sovran, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-05-27.
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