Provider Demographics
NPI:1952305963
Name:FISHBEIN, PAUL G (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:G
Last Name:FISHBEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8950 N KENDALL DR
Mailing Address - Street 2:STE 506W
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2132
Mailing Address - Country:US
Mailing Address - Phone:305-595-2710
Mailing Address - Fax:305-274-9258
Practice Address - Street 1:8950 N KENDALL DR STE 306W
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2131
Practice Address - Country:US
Practice Address - Phone:305-596-9966
Practice Address - Fax:305-595-0282
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2018-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME34358207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL038475500Medicaid
D63388Medicare UPIN