Paul D Sovran MD PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

037109 Issued in FL

Legal business name

PAUL D SOVRAN MD PA

Practice address

211 Ruby Ave
Kissimmee, FL 34741-5679

Phone

(407) 847-3333

Fax

(407) 847-8622

NPI assigned

Aug 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul David Sovran, MDNPI 1093710097

Title

Owner

Phone

(407) 847-3333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul David Sovran, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Kissimme, FL
  • NPI 1093710097
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1588979488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 RUBY AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415679",
            "telephone_number": "407-847-3333",
            "fax_number": "407-847-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 RUBY AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415679",
            "telephone_number": "407-847-3333",
            "fax_number": "407-847-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D SOVRAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "SOVRAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-847-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "037109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Medical Center of Florida Inc
• Alvaro Patino Jr., O.D.
• Manuela Chavez Patino
• Cosette Escosio Patricio, PHYSICIAN ASSISTANT
• Shay Felecia Patrick, FNP
• Christephanie Paul
• Francine Paul
• Yelina Paula
• Jucely Paulino, DMS
• Courtney Pavlic

• Geriatric Medicine (Internal Medicine) Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.