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Individual

DR. STEPHEN POULOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3372 WOODS EDGE CIR STE 101, BONITA SPRINGS, FL 34134-3436
(239) 799-7873
Mailing address
3372 WOODS EDGE CIR STE 101, BONITA SPRINGS, FL 34134-3436
(239) 799-7873

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11396A
WY
2084P0800X
Psychiatry Physician
35131835
OH
2084P0800X
Psychiatry Physician
MDST768
TN
2084P0800X
Psychiatry Physician
Primary
ME156827
FL

Other

Enumeration date
06/24/2013
Last updated
09/28/2023
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