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Ryan David Poling

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

PECOS Enrollment

This provider is enrolled in PECOS as RYAN POLING.

Based on the most recent information from CMS, provider Ryan David Poling is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1558717835
Provider Type
Individual
Full Name
Poling, Ryan David
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/5/2016
Last Updated
6/24/2024

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 746638, Atlanta, GA 30374-6638

(904) 202-1032

(904) 376-4107

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License ME142810 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME142810 Florida

Ryan David Poling

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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