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PETER POULOS MD
NPI 1750633582
Psychiatry & Neurology - Geriatric Psychiatry in Orlando, FL

Active since October 03, 2012
3956 TOWN CENTER BLVD, STE 287, ORLANDO, FL 32837(407) 922-0395 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Poulos Md NPPES

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

PETER POULOS MD (NPI 1750633582) is a healthcare organization registered as a geriatric psychiatry in Orlando, Florida and active in the NPI registry since October 2012. The organization lists Zabeeda Persaud, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750633582
Entity TypeOrganization
Primary Taxonomy2084P0805X
Legal Business NamePETER POULOS MD
Location Address3956 TOWN CENTER BLVD, STE 287Orlando, FL 32837-6103
Mailing Address3956 Town Center Blvd, Ste 287Orlando, FL 32837-6103
Phone(407) 922-0395
Organization SubpartNo
Authorized OfficialZabeeda PersaudOffice Manager · (407) 922-0395
Enumeration DateOctober 3, 2012
✔ NPI 1750633582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in FL · ME43417
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
3956 TOWN CENTER BLVD, Orlando, FL 32837
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Other Identifiers 3

Medicaid064304100FL
Other260038681Railroad Medicare
Medicare UPIND20997FL

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 2

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

METRO ORTHOPEDIC SPECIALISTS PL
Orthopaedic Surgery
3956 TOWN CENTER BLVD, PMB 462
ORLANDO, FL 32837
Orange County (407) 297-0397
S. CATHERINE NGUYEN D.C.
Chiropractor
3956 TOWN CENTER BLVD, BOX 524
ORLANDO, FL 32837
Orange County (407) 342-3376

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 Peter Poulos MD's NPI number?

The NPI number for Peter Poulos MD is 1750633582. It was assigned to this organization in the NPPES registry on October 3, 2012.

Where is Peter Poulos MD located?

Peter Poulos MD is located at 3956 Town Center Blvd Ste 287, Orlando, FL 32837. The listed phone number is (407) 922-0395.

What is Peter Poulos MD's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

When was this NPI record last updated?

The NPPES record for Peter Poulos MD was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.