Provider Demographics
NPI:1043255839
Name:HAHN, PAULETTE C (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULETTE
Middle Name:C
Last Name:HAHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PAULETTE
Other - Middle Name:CHRISTINE
Other - Last Name:HAHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1600 SW ARCHER RD # 100221
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0221
Mailing Address - Country:US
Mailing Address - Phone:352-273-5341
Mailing Address - Fax:
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610
Practice Address - Country:US
Practice Address - Phone:352-265-4846
Practice Address - Fax:352-392-6627
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME72509207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254883600Medicaid
FL68921ZMedicare PIN