Individual
MELISSA POLISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 LAKELAND HILLS BLVD., LAKELAND, FL 33805-3019
(863) 680-7830
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD., LAKELAND, FL 33805-3019
(863) 680-7830
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9432464
FL
367500000X
Certified Registered Nurse Anesthetist
11001042
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11001042
FL
Other
Enumeration date
01/11/2019
Last updated
04/03/2019
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