Provider Demographics
NPI:1447033535
Name:POHL, MARY BAKER (DO)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:BAKER
Last Name:POHL
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:174 CYPRESS POINT PKWY
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-7438
Mailing Address - Country:US
Mailing Address - Phone:386-446-8510
Mailing Address - Fax:386-446-8512
Practice Address - Street 1:174 CYPRESS POINT PKWY
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-7438
Practice Address - Country:US
Practice Address - Phone:321-446-8510
Practice Address - Fax:386-446-8512
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLDO5454156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician