Avidon, Paul I

Avidon, Paul I is an individual health care provider with primary practice located at 1050 Se Monterey Rd Ste 400 , Stuart FL 34994-4512. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Avidon, Paul I can be contacted via phone (772) 288-2400.

Contact Information

Primary practice address
1050 Se Monterey Rd Ste 400 Stuart FL 34994-4512
Phone: (772) 288-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0001609 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA0001609 Florida

Profile Details

NPI number 1265417802
LBN Legal business name Avidon, Paul I
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Oct 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265417802 NPPES
Other E4181 MEDICARE SPECIFIED

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