| NPI | 1124666201 |
|---|---|
| Doing Business As | PARADISE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JESSICA S B MENDONSA Provider/LLC Member 808-377-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2022-01-27 |