PAULA JEAN DIBENEDETTO


Address: 1889 Professional Park Cir Ste 30, Tallahassee, FL 32308-4511
Phone: 8503254900

PAULA JEAN DIBENEDETTO (NPI# 1457726085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457726085
Entity Type Individual
Full Name PAULA JEAN DIBENEDETTO
Credential ARNP
Practice Address 1889 Professional Park Cir Ste 30
Tallahassee
FL 32308-4511
Practice Telephone 8503254900
Practice Fax Number 8503257080
Mailing Telephone 8503254900
Mailing Fax Number 8503257080
Enumeration Date 2015-12-08
Last Update Date 2015-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
ARNP9218183 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1889 PROFESSIONAL PARK CIR STE 30
City TALLAHASSEE
State FL
Zip Code 32308-4511

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1669979480 Beth North, Lcsw, LLC Social Worker 1325 Mahan Drive, Tallahassee, FL 32308 2018-04-09
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1225547243 William Michael Kunkle Physician Assistant 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 2017-09-21
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1265832802 Shirley Croissy English I Nurse Practitioner 3468 Gentle Wind Way, Tallahassee, FL 32317-9010 2014-09-02
1093132359 Sevilla Bronson Nurse Practitioner 4460 Westover Dr, Tallahassee, FL 32303-2461 2014-03-25
1275963662 Generationspan Healthcare LLC Nurse Practitioner 400 Capital Cir Se Ste 18128, Tallahassee, FL 32301-3802 2013-11-21
1669993713 David Allen Curry Nurse Practitioner 1300 Medical Dr, Tallahassee, FL 32308-4646 2017-06-29
1831520063 Molly Seal Nurse Practitioner 2770 Capital Medical Blvd, Suite 200, Tallahassee, FL 32308-8417 2013-12-13

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Competitor

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City TALLAHASSEE
Zip Code 32308

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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