Individual
MR. EMILY ANN POLATAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13000 SAWGRASS VILLAGE CIR, SUITE 36, PONTE VEDRA BEACH, FL 32082-5016
(904) 940-5445
Mailing address
13000 SAWGRASS VILLAGE CIR, SUITE 36, PONTE VEDRA BEACH, FL 32082-5016
(904) 940-5445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36466
FL
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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