DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHENTON PAILLANT

Active Sole Proprietor

2279E0002X · MIAMI, FL

Registration Details

NPI Number
1508519687
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2022 (4.2249438241291 yrs)
Last Updated
Jan 30, 2022
License
RT17936 (FL)
Sole Proprietor
Yes

Practice Information

Address
19512 NW 7TH CT
MIAMI, FL, 331693118
Browse FL providers · Browse ZIP 33169
Phone
7549710329
Primary Specialty
2279E0002X
2279E0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.