Provider Demographics
NPI:1336245190
Name:PAONE, DOUGLAS B (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:B
Last Name:PAONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:848 1ST AVE N
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6013
Mailing Address - Country:US
Mailing Address - Phone:239-263-2808
Mailing Address - Fax:239-263-2907
Practice Address - Street 1:848 1ST AVE N
Practice Address - Street 2:SUITE 300
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6013
Practice Address - Country:US
Practice Address - Phone:239-263-2808
Practice Address - Fax:239-263-2907
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2010-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME83655207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA01483Medicare UPIN
FLE7286YMedicare ID - Type UnspecifiedMEDICARE NUMBER