STACIA POOLE MD, LLC
NPI 1467837476
Dermatology in Melbourne, FL

Active since July 21, 2015
930 S HARBOR CITY BLVD, SUITE 101, MELBOURNE, FL 32901(321) 917-8472 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacia Poole Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIA POOLE MD, LLC (NPI 1467837476) is a healthcare organization registered as a dermatology in Melbourne, Florida and active in the NPI registry since July 2015. The organization lists Stacia Poole, Owner, as its authorized official.

NPPES Registry Identity

NPI1467837476
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSTACIA POOLE MD, LLC
Location Address930 S HARBOR CITY BLVD, SUITE 101Melbourne, FL 32901-1963
Mailing Address930 S Harbor City Blvd, Suite 101Melbourne, FL 32901-1963 · (321) 917-8472
Organization SubpartNo
Authorized OfficialStacia PooleOwner · (321) 917-8472
Enumeration DateJuly 21, 2015
NPI 1467837476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · ME51873
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
930 S HARBOR CITY BLVD, Melbourne, FL 32901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
930 S HARBOR CITY BLVD, 100
MELBOURNE, FL 32901
Nurse Practitioner (Gerontology)
930 S HARBOR CITY BLVD
MELBOURNE, FL 32901
Orthopaedic Surgery (Foot and Ankle Surgery)
930 S HARBOR CITY BLVD
MELBOURNE, FL 32901
Internal Medicine (Hematology & Oncology)
930 S HARBOR CITY BLVD
MELBOURNE, FL 32901
Clinic/Center (Multi-Specialty)
930 S HARBOR CITY BLVD
MELBOURNE, FL 32901
Nurse Practitioner
930 S HARBOR CITY BLVD
MELBOURNE, FL 32901
Specialist
930 S HARBOR CITY BLVD, SUITE 200
MELBOURNE, FL 32901
Internal Medicine (Cardiovascular Disease)
930 S HARBOR CITY BLVD
MELBOURNE, FL 32901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacia Poole MD, LLC's NPI number?

The NPI number for Stacia Poole MD, LLC is 1467837476. It was assigned to this organization in the NPPES registry on July 21, 2015.

Where is Stacia Poole MD, LLC located?

Stacia Poole MD, LLC is located at 930 S Harbor City Blvd Suite 101, Melbourne, FL 32901. The listed phone number is (321) 917-8472.

What is Stacia Poole MD, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Stacia Poole MD, LLC was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.