Individual
ELIE M POLISSAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARRT
Contact information
Practice address
3630 WILLIAM ST, LAKE PARK, FL 33403-1634
(561) 282-7672
(561) 683-1932
Mailing address
8190 OKEECHOBEE BLVD, WELLINGTON, FL 33411-2047
(561) 282-7672
(561) 683-5787
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
62331
FL
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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