Provider Demographics
NPI:1932633039
Name:PARE, PAOLA (DO)
Entity Type:Individual
Prefix:
First Name:PAOLA
Middle Name:
Last Name:PARE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:PAOLA
Other - Middle Name:ELVIRA
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 SW 84 AVENUE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2755
Mailing Address - Country:US
Mailing Address - Phone:954-423-2300
Mailing Address - Fax:954-424-4200
Practice Address - Street 1:220 SW 84 AVENUE
Practice Address - Street 2:SUITE 206
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2755
Practice Address - Country:US
Practice Address - Phone:954-423-2300
Practice Address - Fax:954-424-4200
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program