# RICHARD B POLAKOFF MD PA

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

## Provider details

- **NPI number:** 1740730688
- **Authorized official:** DR. RICHARD POLAKOFF M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (954) 676-5183

## Contact information

- **Practice address:** 4850 W OAKLAND PARK BLVD, STE 143, LAUDERDALE LAKES, FL 33313-7260
- **Practice address phone:** (954) 676-9980
- **Practice address fax:** (954) 676-5288
- **Mailing address:** 4850 W OAKLAND PARK BLVD, STE 143, LAUDERDALE LAKES, FL 33313-7260
- **Mailing address phone:** (954) 676-9980
- **Mailing address fax:** (954) 676-5288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | ME0046546 | FL | Yes |

## Other

- **Enumeration date:** 10/04/2016
- **Last updated:** 10/24/2016