POONAM POONAM

FORT MYERS, FL
NPI1427579259
Other NameNO NAME GIVEN POONAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: FL  ME171316)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MA  272359)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: KY  TP578)
Enumeration Date2017-07-01
Last Update Date2024-12-10
Business Address
POONAM POONAM M.D.
11215 METRO PKWY STE 100
FORT MYERS, FL 33966-1206
Phone number: 239-208-2212
Mailing Address
POONAM POONAM M.D.
1665 HERLONG COURT, STE B
ROCK HILL, SC 29732
Phone number: 803-366-6135