Provider Demographics
NPI:1841823036
Name:POOLE, APRIL D
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:D
Last Name:POOLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 15TH CT NW
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-1308
Mailing Address - Country:US
Mailing Address - Phone:863-844-3095
Mailing Address - Fax:
Practice Address - Street 1:1880 15TH CT NW
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-1308
Practice Address - Country:US
Practice Address - Phone:863-844-3095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care