Individual
TEA POLOSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8130 LAKEWOOD MAIN ST STE 103, LAKEWOOD RANCH, FL 34202-5068
(941) 499-2700
Mailing address
201 14TH ST SW, LARGO, FL 33770-3199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS20200
FL
208M00000X
Hospitalist Physician
Primary
OS20200
FL
Other
Enumeration date
03/30/2020
Last updated
06/20/2023
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