# BRENDA J POLEWAC OD PA

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

## Provider details

- **NPI number:** 1598941791
- **Authorized official:** DR. BRENDA J POLEWAC O.D. (OWNER)
- **Authorized official phone:** (239) 593-7747

## Contact information

- **Practice address:** 7955 AIRPORT PULLING RD N, SUITE 104, NAPLES, FL 34109-1794
- **Practice address phone:** (239) 593-7747
- **Mailing address:** 4225 EVANS AVE, FORT MYERS, FL 33901-9311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1988 | FL | Yes |

## Other

- **Enumeration date:** 01/17/2008
- **Last updated:** 01/17/2008