# POLYCLINIC HEALTHCARE LP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184175630
- **Authorized official:** MS. TANIA MEDINA (GEN PTR)
- **Authorized official phone:** (786) 701-9135

## Contact information

- **Practice address:** 11648 QUAIL ROOST DR, MIAMI, FL 33157-6550
- **Practice address phone:** (786) 701-9135
- **Practice address fax:** (786) 592-2874
- **Mailing address:** 11648 QUAIL ROOST DR, MIAMI, FL 33157-6550
- **Mailing address phone:** (786) 701-9135
- **Mailing address fax:** (786) 592-2874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2016
- **Last updated:** 10/19/2016