Provider Demographics
NPI:1659744076
Name:PAULIN, JEAN
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:PAULIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6137 WAUCONDA WAY E
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-5867
Mailing Address - Country:US
Mailing Address - Phone:561-309-8859
Mailing Address - Fax:
Practice Address - Street 1:6137 WAUCONDA WAY E
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-5867
Practice Address - Country:US
Practice Address - Phone:561-309-8859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT34462279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health