Individual
CLAUDIA J POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
308 S HARBOR CITY BLVD, MELBOURNE, FL 32901-1503
(321) 372-1132
Mailing address
5200 MALABAR BLVD, MELBOURNE BEACH, FL 32951-3238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11034716
FL
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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