Organization
POLYCLINIC HEALTHCARE LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANIA MEDINA (GEN PTR)
(786) 701-9135
Entity
Organization
Contact information
Practice address
11648 QUAIL ROOST DR, MIAMI, FL 33157-6550
(786) 701-9135
(786) 592-2874
Mailing address
11648 QUAIL ROOST DR, MIAMI, FL 33157-6550
(786) 701-9135
(786) 592-2874
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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