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Organization
JOSE F POLANCO MD PA
Active
Organization
JOSE F POLANCO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE F POLANCO MD (OWNER)
(941) 708-3358
Entity
Organization
Contact information
Practice address
311 3RD AVE E, BRADENTON, FL 34208-1014
(941) 708-3358
Mailing address
311 3RD AVE E, BRADENTON, FL 34208-1014
(941) 708-3358
(941) 749-1046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME73836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003131900
—
FL
Enumeration date
09/29/2008
Last updated
08/30/2012
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