Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maxwell Clark Poling, PA-C

Individual provider Physician Assistant · NPI 1871039727

Maxwell Clark Poling, PA-C is a Physician Assistant in Indialantic, Florida. Qualified in 2016, 10 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

420 5th Ave
Indialantic, FL 32903-4280
Phone: (321) 312-1352
Fax: (321) 312-1513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 2305 Vidina Dr Ste 102, Melbourne, FL 32940-8066 — (321) 441-8332
  • 6545 N Wickham Rd Ste 102, Melbourne, FL 32940-2042 — (321) 395-3298
  • 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2052 — (321) 395-3298
  • 6545 N Wickham Rd Ste 101, Melbourne, FL 32940-2042 — (321) 395-3298
  • 1301 Plantation Island Dr S, Saint Augustine, FL 32080-3108 — (904) 342-7769

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAT9109932 (FL)

Record details

NPI number1871039727
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2017
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Indialantic