Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paul Louis Wasserman, DO

Individual provider Body Imaging Physician · NPI 1699701011

Paul Louis Wasserman, DO is a Diagnostic Radiology in Palm Coast, Florida. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 1999, 27 years ago. Practices with Florida Hospital Medical Group Inc, a 329-clinician group and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
27
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
FL, NC
In the registry since
2006
Specialties on file
6
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone: (386) 586-2000
Fax: (317) 705-5047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence OS11113 (FL)
Body Imaging Physician Taxonomy 2085B0100X · Licence 2004-00278 (NC)
Body Imaging Physician Taxonomy 2085B0100X · Licence OS1113 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2004-00278 (NC)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence OS11113 (FL)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 2004-00278 (NC)

Record details

NPI number1699701011
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2006
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022
Mailing address60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 1999 (27 years in practice)
Group practice Florida Hospital Medical Group Inc — 329 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations19 on file with Medicare

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