Polk County Board of County Commissioners (polk County Bocc)

NPI #1154462703 in Bartow, Florida

Provider Information

NPI Number: 1154462703
Entity Type: Organization
Organization Name: Polk County Board of County Commissioners (polk County Bocc)
Primary Specialty: General Practice
Enumeration Date: Feb 8, 2007
Last Updated: Apr 24, 2008

Practice Location

Address: 2120 MARSHALL EDWARDS DR
City: Bartow
State: Florida
ZIP Code: 33830-6731
Phone: (863) 519-7579

Authorized Official

Name: MR. SAMUEL (SAM) JOHNSON
Title: CHAIRMAN
Phone: (863) 534-6049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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