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Individual

JOSEPHINE RICHARDSON POLCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1120 10TH ST E, PALMETTO, FL 34221-4134
(941) 847-7903
(941) 847-7919
Mailing address
5130 SUNFOREST DR, STE 300, TAMPA, FL 33634-6327
(941) 847-7903
(941) 847-7919

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3265842
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001569500
FL
Enumeration date
09/22/2009
Last updated
03/03/2022
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