MEDICARE: MS. BRITTANY POOLE P.A.-C

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
1	246ZX2200X	Orthopedic Assistant	PA9107844	FL
2	363A00000X	Physician Assistant	PA9107844	FL

General Provider Information

NPI Number	:	1942611918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRITTANY POOLE P.A.-C

Provider Business Mailing Address
First Line	:	1700 NW 49TH ST STE 125
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3750
Country	:	US
Telephone Number	:	954-776-8580
Fax Number	:	954-776-8588

Provider Business Practice Location Address
First Line	:	6333 N FEDERAL HWY STE 250
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-1910
Country	:	US
Telephone Number	:	954-776-8580
Fax Number	:	954-776-8588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2014
Last Update Date	:	10/21/2024

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Directions to “ MS. BRITTANY POOLE P.A.-C” Practice Location

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