Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAXWELL CLARK POLING, PA-C
ActiveMAXWELL CLARK POLING, PA-C is a Physician Assistant healthcare provider located in INDIALANTIC, Florida. NPI 1871039727 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · INDIALANTIC, FL
Registration Details
- NPI Number
- 1871039727
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2017 (9.5528320148091 yrs)
- Last Updated
- Sep 18, 2025
- License
-
PAT9109932 (FL)
Practice Information
- Address
-
420 5TH AVEINDIALANTIC, FL, 329034280Browse FL providers · Browse ZIP 32903
- Phone
- 3213121352
- Fax
- 3213121513
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in INDIALANTIC, FL
| Name | Credential | NPI |
|---|---|---|
| DALE PHILLIP GREYSLAK | PAC | 1669648754 |
| CAROLINE CUBERO | — | 1467954669 |
| CASEY ROBERT RUNTE | — | 1760016356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.