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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAURICIO POLANCO, PA

Active

MAURICIO POLANCO, PA is a Physician Assistant healthcare provider located in TEMPLE TERRACE, Florida. NPI 1790099281 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TEMPLE TERRACE, FL

Registration Details

NPI Number
1790099281
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2010 (16.043900733256 yrs)
Last Updated
Oct 13, 2017
License
PA9104523 (FL)

Practice Information

Address
13020 N TELECOM PKWY
TEMPLE TERRACE, FL, 336370925
Browse FL providers · Browse ZIP 33637
Phone
8139789700
Fax
8135586187
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in TEMPLE TERRACE, FL

Name Credential NPI
CAROL C PAUL PA 1083603633
GLENN M LITTLE JR. PA 1396727152
MARY FRANCES KRUEGER PA-C 1811950330
DEZBAH A ZEVIN PAC 1245281153
SARAH M SOUZA PA-C 1033161971
NICOLE R PLOGER PA 1013935576
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.