Individual
DR. PETER J. POLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4414 SW COLLEGE RD STE 1462, OCALA, FL 34474-4790
(352) 622-5183
(352) 629-5026
Mailing address
4414 SW COLLEGE RD UNIT 1462, OCALA, FL 34474-2701
(352) 622-5183
(352) 622-1348
Taxonomy
Speciality
Code
Description
License number
State
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
OPC4899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063494800
—
FL
01
—
10441
BC/BS PROVIDER NUMBER
FL
Enumeration date
08/17/2005
Last updated
05/12/2025
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