Individual
KAILA POLEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10501 FGCU BLVD S, FORT MYERS, FL 33965-6502
(239) 590-7505
Mailing address
10501 FGCU BLVD S, FORT MYERS, FL 33965-6502
(239) 590-7505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9636767
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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