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Organization
POLK COUNTY ADULT HEALTH CARE PA
Active
Organization
POLK COUNTY ADULT HEALTH CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA PONGOS (PRESIDENT)
(863) 318-1111
Entity
Organization
Contact information
Practice address
4842 CYPRESS GARDENS RD, WINTER HAVEN, FL 33884-2908
(863) 318-1111
(863) 318-1102
Mailing address
4842 CYPRESS GARDENS RD, WINTER HAVEN, FL 33884-2908
(863) 318-1111
(863) 318-1102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME80722
FL
Other
Enumeration date
07/02/2007
Last updated
01/03/2012
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