Organization
POLK PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANANTHAKRISHNA PILLAI MD (DOCTOR)
(863) 534-3737
Entity
Organization
Contact information
Practice address
1265 E MAIN ST, BARTOW, FL 33830-5006
(863) 534-3737
(863) 533-6323
Mailing address
1265 E MAIN ST, BARTOW, FL 33830-5006
(863) 534-3737
(863) 533-6323
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0029864
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067708600
—
FL
01
—
59264
BCBS ID #
FL
Enumeration date
01/30/2007
Last updated
03/28/2014
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