DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. NICHOLAS D. POULOS MD

MEDICARE: DR. NICHOLAS D. POULOS MD
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
12086S0120XPediatric Surgery PhysicianME90981FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669446894
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS D. POULOS MD
Provider Business Mailing Address
First Line : 10140 CENTURION PKWY N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-0532
Country : US
Telephone Number : 904-697-4100
Fax Number :
Provider Business Practice Location Address
First Line : 6535 NEMOURS PKWY
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7884
Country : US
Telephone Number : 407-650-7000
Fax Number : 407-567-5924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 09/16/2023

Similar Medicare Providers

1982393450 — ROSANA NANET MORGANTI SALVA MD
Practice Location Address:
6535 NEMOURS PKWY
ORLANDO, FL
32827-7884
Practice Phone: 407-567-4000
Practice Fax:
1750215604 — MISS ISABELLA GABRIELLE BROWN MS
Practice Location Address:
6535 NEMOURS PKWY
ORLANDO, FL
32827-7884
Practice Phone: 407-650-7715
Practice Fax:
1457308652 — DR. BARBARA R FERDMAN MD
Practice Location Address:
6535 NEMOURS PKWY
ORLANDO, FL
32827-7884
Practice Phone: 407-650-7000
Practice Fax: 407-567-5924
1740268077 — DR. DANIEL JAY PODBERESKY M.D.
Practice Location Address:
6535 NEMOURS PKWY
ORLANDO, FL
32827-7884
Practice Phone: 407-567-4000
Practice Fax: 407-567-5924
1871563445 — JOSEPH GEORGE KHOURY MD
Practice Location Address:
6535 NEMOURS PKWY
ORLANDO, FL
32827-7884
Practice Phone: 407-650-7715
Practice Fax: 407-650-7265
1043287311 — DR. MARTY CHRISTOPHER MCGRAW M.D.
Practice Location Address:
6535 NEMOURS PKWY
ORLANDO, FL
32827-7884
Practice Phone: 407-650-7323
Practice Fax: 321-388-0162

Directions to “ DR. NICHOLAS D. POULOS MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.