Poole, Anita Louise

Poole, Anita Louise is an individual health care provider with primary practice located at 1403 Forest Dr , Sanford FL 32771-4656. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Poole, Anita Louise can be contacted via phone (407) 328-7992.

Contact Information

Primary practice address
1403 Forest Dr Sanford FL 32771-4656
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1164581633 Florida

Profile Details

NPI number 1669631768
LBN Legal business name Poole, Anita Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Jul 18th, 2008 - about 17 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 1669631768 NPPES
Florida MEDICAID 1164581633

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