Individual
DR. WAYNE F POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2230 SW 19TH AVENUE RD, OCALA, FL 34471-1391
(352) 237-4133
Mailing address
715 SE 36TH LN, OCALA, FL 34471-8716
(352) 804-7786
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME75863
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262482600
—
FL
01
—
V2597
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
01/25/2006
Last updated
06/18/2012
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