PETER POULOS MD; NPI #1750633582

Contact Information

PETER POULOS MD

3956 TOWN CENTER BLVD
STE 287
ORLANDO, FL 32837-6103

Phone: 407-922-0395
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Geriatric Psychiatry	2084P0805X	86	Physician/Neuropsychiatry

Indicates primary specialty

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NPI Profile & details for PETER POULOS MD

NPI # 1750633582

LBN Legal business name PETER POULOS MD

Authorized official ZABEEDA PERSAUD - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/03/2012

Last updated 10/03/2012 - About 14 years ago

Identifiers

FL	License #	ME43417
FL	Medicaid	064304100
	Other	260038681	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PETER POULOS MD

Contact Information

Specialty

Geriatric Psychiatry

NPI Profile & details for PETER POULOS MD

Reviews for PETER POULOS MD