Organization
ROBERTO POLANCO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ONEL MONTALVO CPC,MA (MANAGER)
(786) 345-6991
Entity
Organization
Contact information
Practice address
8501 SW 124TH AVE, 102A, MIAMI, FL 33183-4627
(305) 228-4422
(305) 596-4422
Mailing address
PO BOX 655009, MIAMI, FL 33265-5009
(305) 228-4422
(305) 596-4422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME62015
FL
Other
Enumeration date
11/26/2007
Last updated
08/15/2011
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