Provider Demographics
NPI:1841940616
Name:POLEE, MUREL III
Entity type:Individual
Prefix:MR
First Name:MUREL
Middle Name:
Last Name:POLEE
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 ALEXANDER RD
Mailing Address - Street 2:
Mailing Address - City:LAMONT
Mailing Address - State:FL
Mailing Address - Zip Code:32336-7102
Mailing Address - Country:US
Mailing Address - Phone:661-492-5527
Mailing Address - Fax:
Practice Address - Street 1:2634 CAPITAL CIR NE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4106
Practice Address - Country:US
Practice Address - Phone:850-997-3958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health