Individual
KEITH W POLLACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAP
Contact information
Practice address
5664 SW 60TH AVE, OCALA, FL 34474-5677
(352) 291-5555
(352) 291-9536
Mailing address
5664 SW 60TH AVE, OCALA, FL 34474-5677
(352) 291-5555
(352) 291-9536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP4981
FL
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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