Poole, Taylor Gibbs

Poole, Taylor Gibbs is an individual health care provider with primary practice located at 4308 Alton Rd Suite 870, Miami Beach FL 33140-4556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Poole, Taylor Gibbs can be contacted via phone (305) 674-2047.

Contact Information

Primary practice address
4308 Alton Rd Suite 870 Miami Beach FL 33140-4556
Phone: (305) 674-2047
Fax: (305) 674-2939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 57759 Florida

Profile Details

NPI number 1053307876
LBN Legal business name Poole, Taylor Gibbs
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Feb 7th, 2012 - about 14 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 1053307876 NPPES
Florida MEDICAID 064085900

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