Irra, Paul R

Irra, Paul R is an individual health care provider with primary practice located at 5400 Park Central Ct , Naples FL 34109-5923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Irra, Paul R can be contacted via phone (239) 593-7000.

Contact Information

Primary practice address
5400 Park Central Ct Naples FL 34109-5923
Fax: (239) 593-7008
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0065935 Florida

Profile Details

NPI number 1699779173
LBN Legal business name Irra, Paul R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Oct 17th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699779173 NPPES
Florida MEDICAID 376380300
Florida Other 26236

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