STACIA POOLE MD, LLC
Dermatology at Harbor City Blvd, Melbourne, FL

License number
Florida ME51873
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. STACIA POOLE MD
Title: OWNER
Phone: (321) 917-8472
Address
Address
930 S Harbor City Blvd SUITE 101, Melbourne, FL 32901
National Provider ID: 1467837476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about STACIA POOLE MD, LLC at bizstanding.com

STACIA POOLE, MD, LLC

201 Lansing Is Dr, Satellite Beach, FL 32937

Registration:
Jun 26, 2015
State ID:
L15000109615
Business type:
Florida Limited Liability Company
Stacia Poole, 201 Lansing Is Dr, Satellite Beach, FL 32937 (Physical)
Agent:
Gary Frese,2200 Frony St, Melbourne, FL 32901 (Physical)
FEI/EIN:
NO-NE

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