Provider Demographics
NPI:1407981400
Name:PAULA LIN MD LLC
Entity Type:Organization
Organization Name:PAULA LIN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-839-3834
Mailing Address - Street 1:2800 S OSCEOLA AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-5419
Mailing Address - Country:US
Mailing Address - Phone:407-839-3834
Mailing Address - Fax:407-839-3834
Practice Address - Street 1:2800 S OSCEOLA AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-5419
Practice Address - Country:US
Practice Address - Phone:407-839-3834
Practice Address - Fax:407-839-3834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90422207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6644Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER