Individual
MITZANIA POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15470 NW 77TH CT, MIAMI LAKES, FL 33016-5823
(786) 564-2439
Mailing address
6745 NW 169TH ST APT G, HIALEAH, FL 33015-4230
(786) 564-2439
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6785
FL
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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