Individual
DR. REYNALD POULIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
265B COMMERCIAL BLVD, LAUDERDALE BY THE SEA, FL 33308-4442
(954) 772-3960
(954) 772-3981
Mailing address
265B COMMERCIAL BLVD, LAUDERDALE BY THE SEA, FL 33308-4442
(954) 772-3960
(954) 772-3981
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 36312
FL
Other
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
Enumeration date
02/28/2006
Last updated
05/15/2012
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