Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIE M POLISSAINT, ARRT
Active Sole ProprietorELIE M POLISSAINT, ARRT is a 2471C3401X healthcare provider located in LAKE PARK, Florida. NPI 1053341412 is currently active in the NPPES registry. Verify at CMS.
2471C3401X · LAKE PARK, FL
Registration Details
- NPI Number
- 1053341412
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (20.157451579998 yrs)
- Last Updated
- Jul 8, 2007
- License
-
62331 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3630 WILLIAM STLAKE PARK, FL, 334031634Browse FL providers · Browse ZIP 33403
- Phone
- 5612827672
- Fax
- 5616831932
- Primary Specialty
-
2471C3401X
2471C3401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.