Provider Demographics
NPI:1376883074
Name:PAULINE S POWERS MD LLC
Entity Type:Organization
Organization Name:PAULINE S POWERS MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDI
Authorized Official - Middle Name:L
Authorized Official - Last Name:GERMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-715-9802
Mailing Address - Street 1:7401 TEMPLE TERRACE HWY STE A
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-5784
Mailing Address - Country:US
Mailing Address - Phone:813-985-8888
Mailing Address - Fax:813-985-8837
Practice Address - Street 1:7401 TEMPLE TERRACE HWY STE A
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33637-5784
Practice Address - Country:US
Practice Address - Phone:813-985-8888
Practice Address - Fax:813-985-8837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Multi-Specialty