Doctor Name: | PAUL JOESPH DIGIROLAMO |
NPI Number: | 1003168543 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2462 Se Rock Springs Dr Port Saint Lucie, FL - 349527350 |
Business Phone Number: | 7728124284 |
Business Fax Number: | 7724664448 |
Mailing Address: | 2462 Se Rock Springs Dr, PORT SAINT LUCIE |
State: | FL |
Postal Code: | 349527350 |
Phone Number: | 7728124284 |
Fax Number: | 7724664448 |
NPI Enumeration Date: | 10/08/2012 |
NPI Last Update Date: | 10/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |