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Individual

DR. MICHAEL ALLEN POLLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7000 LAKE ELLENOR DR, CHILDREN'S MEDICAL SERVICES, ORLANDO, FL 32809-5749
(407) 856-6519
Mailing address
PO BOX 560005, ORLANDO, FL 32856-0005
(407) 856-6519

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME17327
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039695800
FL
Enumeration date
07/07/2006
Last updated
12/07/2009
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