Provider Demographics
NPI:1073559936
Name:DI PASQUALE, PAUL DAVID (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DAVID
Last Name:DI PASQUALE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:27516 CASHFORD CIR
Mailing Address - Street 2:SUITE 101 - VITALE INSTITUTE
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6910
Mailing Address - Country:US
Mailing Address - Phone:813-406-4400
Mailing Address - Fax:813-929-6633
Practice Address - Street 1:27516 CASHFORD CIR
Practice Address - Street 2:SUITE 101 - VITALE INSTITUTE
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6910
Practice Address - Country:US
Practice Address - Phone:813-406-4400
Practice Address - Fax:813-929-6633
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS10422207YS0012X, 207YX0602X
FLOS 10422208200000X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep Medicine
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery