| Peter Poulos Md | |
|
3956 Town Center Blvd Ste 287 Orlando FL 32837-6103 | |
| (407) 922-0395 | |
| Not Available |
| Full Name | Peter Poulos Md |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 3956 Town Center Blvd, Orlando, Florida |
| Authorized Official Name and Position | Zabeeda Persaud (OFFICE MANAGER) |
| Authorized Official Contact | 4079220395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Poulos Md 3956 Town Center Blvd Ste 287 Orlando FL 32837-6103 Ph: () - | Peter Poulos Md 3956 Town Center Blvd Ste 287 Orlando FL 32837-6103 Ph: (407) 922-0395 |
| NPI Number | 1750633582 |
|---|---|
| Provider Enumeration Date | 10/03/2012 |
| Last Update Date | 10/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750633582 | NPI | - | NPPES |
| 260038681 | Other | RAILROAD MEDICARE | |
| 064304100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | ME43417 (Florida) | Primary |
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