Provider Demographics
NPI:1922063171
Name:SOILA, PAAVO KALEVI (MD)
Entity Type:Individual
Prefix:DR
First Name:PAAVO
Middle Name:KALEVI
Last Name:SOILA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1111 CRANDON BLVD APT B501
Mailing Address - Street 2:
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-2760
Mailing Address - Country:US
Mailing Address - Phone:305-365-8088
Mailing Address - Fax:305-574-8230
Practice Address - Street 1:4601 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2111
Practice Address - Country:US
Practice Address - Phone:786-219-3145
Practice Address - Fax:786-219-3155
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME379832085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD78984Medicare UPIN
FL96358XMedicare ID - Type Unspecified