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NPI Code Detail

MEDICARE: DANIEL POL LMHC

MEDICARE: DANIEL POL LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH15708FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205339900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL POL LMHC
Provider Business Mailing Address
First Line : PO BOX 20902
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33742-0902
Country : US
Telephone Number : 727-520-3257
Fax Number :
Provider Business Practice Location Address
First Line : 4830 W KENNEDY BLVD STE 600
Second Line :
City : TAMPA
State : FL
Zip : 33609-2584
Country : US
Telephone Number : 727-520-3257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2018
Last Update Date : 02/19/2019

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