Polbos, Nicole

Polbos, Nicole is an individual health care provider with primary practice located at 1283 Sw State Road 47 Suite 104, Lake City FL 32025-0489. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Polbos, Nicole can be contacted via phone (386) 758-5985.

Contact Information

Primary practice address
1283 Sw State Road 47 Suite 104 Lake City FL 32025-0489
Phone: (386) 758-5985
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP 9265534 Florida

Profile Details

NPI number 1174063127
LBN Legal business name Polbos, Nicole
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2017
Last updated Feb 24th, 2017 - about 7 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.

Request for update

Popular Providers