Provider Demographics
NPI:1083850994
Name:MARYLOU PAULO-FRANCISCO, DPM, PA
Entity Type:Organization
Organization Name:MARYLOU PAULO-FRANCISCO, DPM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARYLOU
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULO-FRANCISCO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-499-5151
Mailing Address - Street 1:4800 LINTON BLVD
Mailing Address - Street 2:F117
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6584
Mailing Address - Country:US
Mailing Address - Phone:561-499-5151
Mailing Address - Fax:561-499-6077
Practice Address - Street 1:4800 LINTON BLVD
Practice Address - Street 2:F117
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6584
Practice Address - Country:US
Practice Address - Phone:561-499-5151
Practice Address - Fax:561-499-6077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-23
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2608213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU66645Medicare UPIN
FL65522AMedicare Oscar/Certification