Polk County Adult Health Care Pa in Winter Haven - Internal Medicine
Polk County Adult Health Care Pa - NPI 1518164417
Polk County Adult Health Care Pa is a Internal Medicine in Winter Haven, Florida. Polk County Adult Health Care Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Polk County Adult Health Care Pa is 1518164417. The last update date is 2012-01-03.
Polk County Adult Health Care Pa's current location address is 4842 Cypress Gardens Rd, Winter Haven, Florida. You can contact this provider via phone number 8633181111 and fax number 8633181102. The mailing address for Polk County Adult Health Care Pa is 4842 Cypress Gardens Rd, Winter Haven, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Polk County Adult Health Care Pa |
|---|---|
| Address | 4842 Cypress Gardens Rd, Winter Haven, Florida |
| Phone Number | 8633181111 |
| Fax Number | 8633181102 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pongos Maria |
| Telephone Number | 8633181111 |
NPI Number Detail
| NPI Number | 1518164417 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2012-01-03 |
Provider Mailing Address Detail
| Address | 4842 Cypress Gardens Rd |
|---|---|
| City | Winter Haven |
| State | Florida (FL) |
| Post Code | 338842908 |
| Phone Number | 8633181111 |
| Fax Number | 8633181102 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | ME80722 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique provider identifier assigned to Polk County Adult Health Care Pa?
The Polk County Adult Health Care Pa has been issued the NPI (National Provider Identifier) 1518164417 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Polk County Adult Health Care Pa is located?
The Polk County Adult Health Care Pa is situated at the following address: 4842 Cypress Gardens Rd, Winter Haven, FL, 338842908.
What is the Polk County Adult Health Care Pa's specialty and taxonomy code?
The Polk County Adult Health Care Pa's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When was the Polk County Adult Health Care Pa's 1518164417 issued?
The Polk County Adult Health Care Pa's 1518164417 was issued on 2007-07-02.
When was the information pertaining to Polk County Adult Health Care Pa most recently updated or revised?
The details related to Polk County Adult Health Care Pa, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-03.