Poulos, Nicholas D.
Poulos, Nicholas D. is an individual health care provider with primary practice located at 6535 Nemours Pkwy , Orlando FL 32827-7884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Poulos, Nicholas D. can be contacted via phone (407) 650-7000.Contact Information
Primary practice address
6535 Nemours Pkwy
Orlando FL 32827-7884
Phone: (407) 650-7000
Fax: (407) 567-5924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | ME90981 | Florida |
Profile Details
| NPI number | 1669446894 |
|---|---|
| LBN Legal business name | Poulos, Nicholas D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Sep 16th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669446894 | NPPES |
| Florida | MEDICAID | 270512500 | |
| Florida | MEDICAID | 667777318A |
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