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Organization
VICTOR POLITANO JR DO PA
Active
Organization
VICTOR POLITANO JR DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA METZ (OFFICE MANAGER)
(407) 846-9299
Entity
Organization
Contact information
Practice address
1400 W OAK ST, SUITE D, KISSIMMEE, FL 34741-4000
(407) 846-9299
(407) 846-8930
Mailing address
1400 W OAK ST, SUITE D, KISSIMMEE, FL 34741-4000
(407) 846-9299
(407) 846-8930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0005193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062882400
—
FL
01
—
401926
CIGNA
FL
01
—
4307838
AETNA
FL
01
—
82904
BCBS
FL
Enumeration date
08/06/2009
Last updated
04/16/2010
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