Individual
JOEL LUIS POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2000 NW 87TH AVE STE 101, DORAL, FL 33172-2655
(844) 665-4827
Mailing address
PO BOX 5793, HIALEAH, FL 33014-1793
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11003908
FL
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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