Individual
DR. JOSE GREGORIO POLO-CUETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D ACN
Contact information
Practice address
4382 L B MCLEOD RD, ORLANDO, FL 32811-5619
(407) 648-0076
(407) 648-3666
Mailing address
4382 L B MCLEOD RD, ORLANDO, FL 32811-5619
(407) 648-0076
(407) 648-3666
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
20004
PR
208D00000X
General Practice Physician
Primary
ACN 946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P423-427-73-11-0
DRIVER LICENSE
FL
Enumeration date
09/21/2012
Last updated
03/21/2016
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