Provider Demographics
NPI:1003885765
Name:THAQI, PAULA MICHELE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:MICHELE
Last Name:THAQI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PAULA
Other - Middle Name:MICHELE
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:780 SW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-2643
Mailing Address - Country:US
Mailing Address - Phone:954-467-4700
Mailing Address - Fax:954-467-4704
Practice Address - Street 1:780 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-2643
Practice Address - Country:US
Practice Address - Phone:954-467-4700
Practice Address - Fax:954-467-4704
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82364208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAI032YOtherMEDICARE
FL37981OtherBLUE CROSS PROVIDER NUMBE