Female

Nicole C. De Paz MD

Pediatrics Physician in St Petersburg, FL(View on Map)

Full Name

Nicole Chantal De Paz MD

NPI Number

1710337696

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/21/2016

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Florida
Massachusetts

License Number

ME149199
267862

Contact
Information

Purpose

Mailing
Location

Address

4033 TAMPA RD STE 101
6671 13TH AVE N STE 1D

City

Oldsmar
St Petersburg

State

FL
FL

Postal Code

34677-3224
33710-5411

Country

US
US

Telephone Number

(813) 854-2003
(727) 381-1147

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/29/2021

Provider Address

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