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1760880082
PAUL MODAFFERI
TALLAHASSEE, FL
NPI
1760880082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9188795)
Enumeration Date
2014-12-18
Last Update Date
2014-12-18
Business Address
-- PAUL MODAFFERI ARNP
2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308-8417
Phone number: 850-878-8235
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Mailing Address
-- PAUL MODAFFERI ARNP
363 MILESTONE DR
TALLAHASSEE, FL 32312-3575
Phone number: 954-445-7760
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