Provider Demographics
NPI:1487528428
Name:P-3 MEDICAL INC
Entity type:Organization
Organization Name:P-3 MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:407-361-7565
Mailing Address - Street 1:315 W BLUE WATER EDGE
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32736
Mailing Address - Country:US
Mailing Address - Phone:407-361-7565
Mailing Address - Fax:
Practice Address - Street 1:766 N SUN DR STE 1060
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2552
Practice Address - Country:US
Practice Address - Phone:407-361-7565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHESTER D. MILTENBERGER, MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty