Sovran, Paul David
Sovran, Paul David is an sole proprietor health care provider with primary practice located at 211 East Ruby Ave , Kissimme FL 34741-5679. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Sovran, Paul David can be contacted via phone (407) 847-3333.Contact Information
Primary practice address
211 East Ruby Ave
Kissimme FL 34741-5679
Phone: (407) 847-3333
Fax: (407) 847-8622
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME039107 | Florida |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME039107 | Florida |
Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | ME039107 | Florida |
Profile Details
NPI number | 1093710097 |
---|---|
LBN Legal business name | Sovran, Paul David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 16th, 2005 |
Last updated | May 27th, 2011 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093710097 | NPPES |
Florida | Other | 47471 | BCBS |
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