Graham, Paul M
Graham, Paul M is an individual health care provider with primary practice located at 305 Clyde Morris Blvd Ste 150 , Ormond Beach FL 32174-8186. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Graham, Paul M can be contacted via phone (386) 615-1771.Contact Information
Primary practice address
305 Clyde Morris Blvd Ste 150
Ormond Beach FL 32174-8186
Phone: (386) 615-1771
Fax: (386) 615-1545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | OS15142 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | OS15142 | Florida |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | OS15142 | Florida |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS15142 | Florida |
Profile Details
| NPI number | 1720406580 |
|---|---|
| LBN Legal business name | Graham, Paul M |
| Credentials | DO, FAAD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2014 |
| Last updated | Jan 24th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720406580 | NPPES |
| Florida | MEDICAID | 107214900 |
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