Provider Demographics
NPI:1639483969
Name:POHLMAN, DANE C (DO)
Entity Type:Individual
Prefix:DR
First Name:DANE
Middle Name:C
Last Name:POHLMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1753 NE 9TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4442
Mailing Address - Country:US
Mailing Address - Phone:314-283-8738
Mailing Address - Fax:
Practice Address - Street 1:8130 ROYAL PALM BLVD STE 104
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5703
Practice Address - Country:US
Practice Address - Phone:754-206-1877
Practice Address - Fax:754-229-3866
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3271208VP0000X
FLOS142812081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS14281OtherLICENSE
TXQ3271OtherLICENSE