| Organization Name: | PAMELA PAPOLA MD PA |
| NPI Number: | 1043204431 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA PAPOLA (PHYSICIAN) |
| Mailing Address: | 3410 Tamiami Trl 1 Port Charlotte |
| State: | FL US |
| Postal Code: | 339528127 |
| Phone Number: | 9412553722 |
| Fax Number: | 9412553723 |
| NPI Enumeration Date: | 08/31/2005 |
| NPI Last Update Date: | 10/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME63518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |