# DR. REYNALD POULIOT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003882069
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME 36312 | FL | Yes |

## Other

- **Enumeration date:** 02/28/2006
- **Last updated:** 05/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 065023400 | — | FL |
| 01 | — | 07023720 | UNITED | FL |
| 01 | — | 2080754 | AETNA HMO | FL |
| 01 | — | 257650 | AVMED | FL |
| 01 | — | 3967705006 | CIGNA | FL |
| 01 | — | 4421890 | AETNA PPO | FL |
| 01 | — | 93842 | BC/BS OF FL | FL |