Tartarilla, Paul

Tartarilla, Paul is an individual health care provider with primary practice located at 1005 Mar Walt Drive Pediatric Department, Fort Walton Beach FL 32547-6707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Tartarilla, Paul can be contacted via phone (850) 863-8203.

Contact Information

Primary practice address
1005 Mar Walt Drive Pediatric Department Fort Walton Beach FL 32547-6707
Phone: (850) 863-8203
Fax: (850) 863-8113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN2897842 Florida

Profile Details

NPI number 1285610899
LBN Legal business name Tartarilla, Paul
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Sep 25th, 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 1285610899 NPPES
Florida Other Y9978 BCBSFL
Florida MEDICAID 301514900 BCBSFL

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