Individual
POLLY DOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5151 N 9TH AVE # ER, PENSACOLA, FL 32504-8721
(850) 416-7000
(850) 475-4781
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 416-7000
(850) 475-4781
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME110362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037212-00
—
FL
01
—
14E7G
BCBS
FL
Enumeration date
05/05/2006
Last updated
02/15/2016
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