Polanco, Enrique D
Polanco, Enrique D is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 2F , Melbourne FL 32901-2607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Polanco, Enrique D can be contacted via phone (321) 312-3487.Contact Information
Primary practice address
1223 Gateway Dr Ste 2F
Melbourne FL 32901-2607
Phone: (321) 312-3487
Fax: (321) 956-2542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | ME894353 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME89353 | Florida |
Profile Details
| NPI number | 1306899026 |
|---|---|
| LBN Legal business name | Polanco, Enrique D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 3rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306899026 | NPPES |
| Florida | Other | U6951W | HFMG MEDICARE |
| Florida | Other | 41003 | HFMG MEDICARE |
| Florida | Other | P00382944 | HFMG MEDICARE |
| Florida | Other | P01164167 | HFMG MEDICARE |
| Florida | Other | 7388727 | HFMG MEDICARE |
| Florida | MEDICAID | 274442200 | HFMG MEDICARE |
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