Mauricio Polanco, PA

NPI #1790099281 in Temple Terrace, Florida

Provider Information

NPI Number: 1790099281
Entity Type: Individual
Name: Mauricio Polanco, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 27, 2010
Last Updated: Oct 13, 2017

Practice Location

Address: 13020 N TELECOM PKWY
City: Temple Terrace
State: Florida
ZIP Code: 33637-0925
Phone: (813) 978-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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