| Frederick Adolf Paola Md Jd Llc | |
|
6400 Davis Blvd Ste 104 Naples FL 34104-5321 | |
| (239) 624-0650 | |
| Not Available |
| Full Name | Frederick Adolf Paola Md Jd Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6400 Davis Blvd Ste 104, Naples, Florida |
| Authorized Official Name and Position | Elizabeth Ross (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2397321133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Adolf Paola Md Jd Llc 9636 Montelanico Loop Unit 204 Naples FL 34119-2146 Ph: (239) 595-4976 | Frederick Adolf Paola Md Jd Llc 6400 Davis Blvd Ste 104 Naples FL 34104-5321 Ph: (239) 624-0650 |
| NPI Number | 1437852373 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 03/22/2023 |
| Medicare PECOS PAC ID | 7416316245 |
|---|---|
| Medicare Enrollment ID | O20230711002401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437852373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Frederick A Paola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881656858 PECOS PAC ID: 0143263665 Enrollment ID: I20050606001063 |
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