Individual
DR. IZILDA M POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
5205 S ORANGE AVE, SUITE 203, ORLANDO, FL 32809-3068
(407) 240-7003
(407) 240-7003
Mailing address
5205 S ORANGE AVE, SUITE 203, ORLANDO, FL 32809-3068
(407) 240-7003
(407) 240-7003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
06003
FL
101YP1600X
Pastoral Counselor
Primary
06003
FL
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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