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DR. REYNALD POULIOT M.D.

>> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1003882069

Individual Registrant:
DR. REYNALD  POULIOT M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
265B COMMERCIAL BLVD  LAUDERDALE BY THE SEA, FL 33308-4442 US
Tel: 954-772-3960  Fax: 954-772-3981

Contact information for business:
265B COMMERCIAL BLVD  LAUDERDALE BY THE SEA, FL 33308-4442 US
Tel: 954-772-3960  Fax: 954-772-3981

Registration Information:
NPI: 1003882069
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207V00000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
FLME 36312

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
UNITED07023720FL01
AVMED257650FL01
065023400FL05
CIGNA3967705006FL01
AETNA PPO4421890FL01
BC/BS OF FL93842FL01
AETNA HMO2080754FL01




HEALTH CARE JOBS FL - Page 1



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