Organization
BRENDA J POLEWAC OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA J POLEWAC O.D. (OWNER)
(239) 593-7747
Entity
Organization
Contact information
Practice address
7955 AIRPORT PULLING RD N, SUITE 104, NAPLES, FL 34109-1794
(239) 593-7747
Mailing address
4225 EVANS AVE, FORT MYERS, FL 33901-9311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1988
FL
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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