Individual
ROSS POLONETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17110 NE 11TH CT, MIAMI, FL 33162-2622
(786) 346-0372
Mailing address
17110 NE 11TH CT, MIAMI, FL 33162-2622
(786) 346-0372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9448241
FL
Other
Enumeration date
01/21/2022
Last updated
01/22/2022
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