Provider Demographics
NPI:1801896154
Name:DOW, PAUL M (CRNA)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:M
Last Name:DOW
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:PO BOX 1074
Mailing Address - Street 2:C/O ANESTHESIA ASSOCIATES OF DUNEDIN
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34697-1074
Mailing Address - Country:US
Mailing Address - Phone:727-734-6516
Mailing Address - Fax:727-734-4516
Practice Address - Street 1:601 MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5848
Practice Address - Country:US
Practice Address - Phone:727-734-6516
Practice Address - Fax:727-734-4516
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP1342752367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG1688OtherBCBS OF FL
FLG1688WMedicare ID - Type Unspecified