Individual
MRS. DIANA LYNN POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 MORTON PLANT ST, SUITE 400, CLEARWATER, FL 33756-3398
(727) 443-3295
(727) 446-4336
Mailing address
430 MORTON PLANT ST, SUITE 400, CLEARWATER, FL 33756-3398
(727) 443-3295
(727) 446-4336
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0043485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268786100
—
FL
01
—
5749634
AETNA
FL
01
—
62605
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/05/2006
Last updated
02/02/2010
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