Healthcare Provider Details

I. General information

NPI: 1316904774
Provider Name (Legal Business Name): MICHAEL E POHLOD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 N MILLS AVE
ORLANDO FL
32803
US

IV. Provider business mailing address

1911 N MILLS AVE
ORLANDO FL
32803-1432
US

V. Phone/Fax

Practice location:
  • Phone: 407-893-8200
  • Fax: 407-893-8220
Mailing address:
  • Phone: 407-893-8200
  • Fax: 407-893-8220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME75278
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: