Polanco, Izilda M

Polanco, Izilda M is an individual health care provider with primary practice located at 5205 S Orange Ave Suite 203, Orlando FL 32809-3068. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is her primary health care specialty. Polanco, Izilda M can be contacted via phone (407) 240-7003.

Contact Information

Primary practice address
5205 S Orange Ave Suite 203 Orlando FL 32809-3068
Phone: (407) 240-7003
Fax: (407) 240-7003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 06003 Florida
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 06003 Florida

Profile Details

NPI number 1174777213
LBN Legal business name Polanco, Izilda M
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2008
Last updated Nov 14th, 2008 - about 16 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.

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