Provider Demographics
NPI:1730292095
Name:PAOLI, DANIEL PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PHILIP
Last Name:PAOLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 RAYMOND ST
Mailing Address - Street 2:ORLANDO VA MEDICAL CENTER
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-8208
Mailing Address - Country:US
Mailing Address - Phone:321-397-6223
Mailing Address - Fax:
Practice Address - Street 1:5201 RAYMOND ST
Practice Address - Street 2:ORLANDO VA MEDICAL CENTER
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-8208
Practice Address - Country:US
Practice Address - Phone:321-397-6223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2010-12-14
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2008-11-17
Provider Licenses
StateLicense IDTaxonomies
FLME77002207L00000X, 207LC0200X
CAGO79497207L00000X, 207LC0200X
NY187256207L00000X, 207LC0200X
CAG79497207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine