Provider Demographics
NPI:1083308423
Name:POZO, PAUL ROBERTO (RN)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:ROBERTO
Last Name:POZO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:964 SE 67TH CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-0812
Mailing Address - Country:US
Mailing Address - Phone:352-425-1317
Mailing Address - Fax:
Practice Address - Street 1:964 SE 67TH CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-0812
Practice Address - Country:US
Practice Address - Phone:352-425-1317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL94966247163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty