Provider Demographics
NPI:1740528728
Name:PAULIN, DAPHNEE
Entity type:Individual
Prefix:MRS
First Name:DAPHNEE
Middle Name:
Last Name:PAULIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 N BRENTWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461-8536
Mailing Address - Country:US
Mailing Address - Phone:352-274-6600
Mailing Address - Fax:
Practice Address - Street 1:2333 N BRENTWOOD CIR
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-8536
Practice Address - Country:US
Practice Address - Phone:352-274-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAOT11637314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility