Healthcare Provider Details

I. General information

NPI: 1841823036
Provider Name (Legal Business Name): APRIL D POOLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2020
Last Update Date: 02/17/2020
Certification Date: 02/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 15TH CT NW
WINTER HAVEN FL
33881-1308
US

IV. Provider business mailing address

1880 15TH CT NW
WINTER HAVEN FL
33881-1308
US

V. Phone/Fax

Practice location:
  • Phone: 863-844-3095
  • Fax:
Mailing address:
  • Phone: 863-844-3095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: