Pouliot, Reynald

Pouliot, Reynald is an sole proprietor health care provider with primary practice located at 265B Commercial Blvd , Lauderdale By The Sea FL 33308-4442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pouliot, Reynald can be contacted via phone (954) 772-3960.

Contact Information

Primary practice address
265B Commercial Blvd Lauderdale By The Sea FL 33308-4442
Phone: (954) 772-3960
Fax: (954) 772-3981
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 36312 Florida

Profile Details

NPI number 1003882069
LBN Legal business name Pouliot, Reynald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated May 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003882069 NPPES
Florida MEDICAID 065023400
Florida Other 4421890
Florida Other 07023720
Florida Other 2080754
Florida Other 93842
Florida Other 257650
Florida Other 3967705006

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