Sovran, Paul David

Sovran, Paul David is an sole proprietor health care provider with primary practice located at 211 East Ruby Ave , Kissimme FL 34741-5679. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Sovran, Paul David can be contacted via phone (407) 847-3333.

Contact Information

Primary practice address
211 East Ruby Ave Kissimme FL 34741-5679
Phone: (407) 847-3333
Fax: (407) 847-8622
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME039107 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME039107 Florida
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X ME039107 Florida

Profile Details

NPI number 1093710097
LBN Legal business name Sovran, Paul David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated May 27th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093710097 NPPES
Florida Other 47471 BCBS

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