Provider Demographics
NPI:1578669347
Name:DOUGLAS B. PAONE, M.D., P.A.
Entity type:Organization
Organization Name:DOUGLAS B. PAONE, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-287-6190
Mailing Address - Street 1:1008 GOODLETTE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5406
Mailing Address - Country:US
Mailing Address - Phone:239-263-2808
Mailing Address - Fax:239-263-2907
Practice Address - Street 1:671 GOODLETTE RD STE 200
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5615
Practice Address - Country:US
Practice Address - Phone:239-263-2808
Practice Address - Fax:239-263-2907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83655207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA01483Medicare UPIN
FLK6006Medicare PIN