Provider Demographics
NPI:1942808639
Name:PAULA, ROSYS (NP)
Entity Type:Individual
Prefix:
First Name:ROSYS
Middle Name:
Last Name:PAULA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ROSYS
Other - Middle Name:GEORGINA
Other - Last Name:PAULA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:151 SE 1ST ST APT 1910
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-1445
Mailing Address - Country:US
Mailing Address - Phone:305-766-6587
Mailing Address - Fax:
Practice Address - Street 1:1100 US-1
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441
Practice Address - Country:US
Practice Address - Phone:954-943-9670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009594207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine