Individual
DR. MARINA POLUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 MILLENIA LAKES BLVD, SUITE 121, ORLANDO, FL 32839
(407) 830-0414
Mailing address
725 N 12TH AVE, ARCADIA, FL 34266-8752
(239) 936-5250
(239) 936-9970
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
72064
WI
2084P0800X
Psychiatry Physician
Primary
ME112727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005986400
—
FL
01
—
GI895Z
MEDICARE PTAN
FL
Enumeration date
09/02/2009
Last updated
10/18/2022
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