Emanuel John Poulos
Emanuel John Poulos is a Student in an Organized Health Care Education/Training Program in Miami, Florida. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1611 NW 12th AveMiami, FL 33136-1005
Phone: (305) 355-1122
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1659130870 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 18, 2024 |
| Last updated in NPPES | March 18, 2024 |
| Certification date | March 18, 2024 |
| Mailing address | 1611 Nw 12th Ave, Miami, FL 33136-1005 |
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