Organization · NPI-2

Barry S Poliner MD

Family Medicine · Palm Coast, FL

NPI number1376140897
StatusActive
Last updated in NPPESOct 7, 2020

Details

NPI
1376140897
Entity type
Organization (NPI-2)
Legal business name
Barry S Poliner MD
Organization subpart
No
Enumeration date
Oct 7, 2020
Certification date
Oct 7, 2020
Last updated
Oct 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

33 Old Kings Rd N Ste 3
Palm Coast, FL 32137-8238

Phone 386-445-1100

Mailing address

24 Curry Ct
Palm Coast, FL 32137-9003

Phone 386-445-1304

Authorized official

Barry S Poliner
Owner
3864451304

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