Paulk, Jack E

Paulk, Jack E is an individual health care provider with primary practice located at 1901 Se 18Th Ave Bldg 300, Ocala FL 34471-8215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Paulk, Jack E can be contacted via phone (352) 351-1313.

Contact Information

Primary practice address
1901 Se 18Th Ave Bldg 300 Ocala FL 34471-8215
Fax: (352) 351-1927
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME34723 Florida

Profile Details

NPI number 1700836525
LBN Legal business name Paulk, Jack E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 11th, 2010 - about 14 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 1700836525 NPPES
Florida MEDICAID 067419200
Florida Other 55112

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