Nicholas D. Poulos in Jacksonville - Pediatric Surgery
Nicholas D. Poulos - NPI 1669446894
Nicholas D. Poulos is a Pediatric Surgery in Jacksonville, Florida. Nicholas D. Poulos practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Nicholas D. Poulos is 1669446894. The last update date is 2023-09-16.
Nicholas D. Poulos's current location address is 10140 Centurion Pkwy N, Jacksonville, Florida. You can contact this provider via phone number 9046974100. The mailing address for Nicholas D. Poulos is 10140 Centurion Pkwy N, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas D. Poulos |
|---|---|
| Address | 10140 Centurion Pkwy N, Jacksonville, Florida |
| Phone Number | 9046974100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1669446894 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2023-09-16 |
Provider Mailing Address Detail
| Address | 10140 Centurion Pkwy N |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322560532 |
| Phone Number | 9046974100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | ME90981 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 270512500 | FL | -- | |
| 667777318A | GA | -- |
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What is the unique provider identifier assigned to Nicholas D. Poulos?
The Nicholas D. Poulos has been issued the NPI (National Provider Identifier) 1669446894 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Nicholas D. Poulos located?
The Nicholas D. Poulos is located at 10140 Centurion Pkwy N, Jacksonville, FL 322560532.
What is Nicholas D. Poulos's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nicholas D. Poulos is Pediatric Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0120X.
When was the Nicholas D. Poulos's 1669446894 issued?
The Nicholas D. Poulos's 1669446894 was issued on 2006-02-14.
As of what date were the details related to Nicholas D. Poulos most recently updated or revised?
The information pertaining to Nicholas D. Poulos, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-16.
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