Poli, Jorge M

Poli, Jorge M is an individual health care provider with primary practice located at 3850 W Flagler St , Coral Gables FL 33134-1604. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Poli, Jorge M can be contacted via phone (305) 774-3334.

Contact Information

Primary practice address
3850 W Flagler St Coral Gables FL 33134-1604
Phone: (305) 774-3334
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7989 Florida

Profile Details

NPI number 1619911476
LBN Legal business name Poli, Jorge M
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 10th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619911476 NPPES
Florida MEDICAID 767489900

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