Polk Wellcare Corp in Lakeland - Specialist
Polk Wellcare Corp - NPI 1316026388
Polk Wellcare Corp is a Specialist in Lakeland, Florida. Polk Wellcare Corp practices all healthcare services and medical treatments related to Specialist. The NPI Number for Polk Wellcare Corp is 1316026388. The last update date is 2020-08-22.
Polk Wellcare Corp's current location address is 1045 E County Road 540a, Lakeland, Florida. You can contact this provider via phone number 8632933909 and fax number 8632931909. The mailing address for Polk Wellcare Corp is 1045 E County Road 540a, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Polk Wellcare Corp |
|---|---|
| Address | 1045 E County Road 540a, Lakeland, Florida |
| Phone Number | 8632933909 |
| Fax Number | 8632931909 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ravi Himagiri |
| Credentials | MD |
| Telephone Number | 8632933909 |
NPI Number Detail
| NPI Number | 1316026388 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1045 E County Road 540a |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338133735 |
| Phone Number | 8632933909 |
| Fax Number | 8632931909 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME0045684 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Polk Wellcare Corp by the Centers for Medicare & Medicaid Services?
The Polk Wellcare Corp has been assigned the NPI (National Provider Identifier) 1316026388 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Polk Wellcare Corp is located?
The Polk Wellcare Corp is situated at the following address: 1045 E County Road 540A, Lakeland, FL, 338133735.
What is the Polk Wellcare Corp's area of specialization and corresponding taxonomy classification?
The Polk Wellcare Corp's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Polk Wellcare Corp receive its 1316026388 assignment from the Centers for Medicare & Medicaid Services?
The Polk Wellcare Corp was assigned its 1316026388 by the Centers for Medicare & Medicaid Services on 2006-11-02.
When was the information pertaining to Polk Wellcare Corp most recently updated or revised?
The details related to Polk Wellcare Corp, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.