Peter Poulos (NPI# 1982612263, PAC ID# 5294893244) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1982612263 |
| PAC ID by PECOS | 5294893244 |
| Professional Enrollment ID | I20081021000412 |
| Full Name | Peter Poulos |
| Organization Legal Name | FLAGLER MENTAL HEALTH CENTER, PA |
| Address |
2729 E Moody Blvd Suite 105 Bunnell FL 32110-5964 |
| Phone Number | 3863131989 |
| Gender | M |
| Graduation Year | 1976 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1850617200 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2729 E Moody Blvd, Suite 105, Bunnell, FL 32110-5964 | 3863131989 | FLAGLER MENTAL HEALTH CENTER, PA |
| Organization Legal Name | FLAGLER MENTAL HEALTH CENTER, PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna L Rethemeyer | Clinical Social Worker | Flagler Mental Health Center, Pa | 2729 E Moody Blvd, Suite 105, Bunnell, FL 32110-5964 |
| Street Address |
2729 E MOODY BLVD SUITE 105 |
| City | BUNNELL |
| State | FL |
| Zip | 32110-5964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna L Rethemeyer | Clinical Social Worker | Flagler Mental Health Center, Pa | 2729 E Moody Blvd, Suite 105, Bunnell, FL 32110-5964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick G Reed | Chiropractic | 4601 E Moody Blvd, Suite G4, Bunnell, FL 32110-1214 | |
| Michael B Starace | Physical Therapy | 2550 N State St, Suite 4, Bunnell, FL 32110-3418 | |
| Canisha Gillon | Nurse Practitioner | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| Marie Chantal Joassaint | Nurse Practitioner | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| Zuzana Segev | Nurse Practitioner | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| Cynthia L Briere | Clinical Social Worker | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| Rebecca Hayes | Nurse Practitioner | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| Marie A Smith | Nurse Practitioner | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| Guy R Czaykowski | Psychiatry | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| Susannah Dowling | Nurse Practitioner | Sma Healthcare Inc | 301 Justice Ln, Bunnell, FL 32110-4487 |
| Find all physicians in zip 32110 | |||
| City | BUNNELL |
| Zip Code | 32110 |
| Specialty | PSYCHIATRY |
| City + Specialty | BUNNELL + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.