| Dr Sara A Polk, MD | |
|
815 N Mills Ave, Arcadia, FL 34266-8716 | |
| (863) 491-7580 | |
| (863) 491-7584 |
| Full Name | Dr Sara A Polk |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 815 N Mills Ave, Arcadia, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881660702 | NPI | - | NPPES |
| 023602900 | Medicaid | FL | |
| 370021750 | Other | FL | RAILROAD GROUP NUMBER |
| 04960 | Other | FL | BC/BS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME 38070 (Florida) | Primary |
| Entity Name | Central Florida Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467449660 PECOS PAC ID: 0143127951 Enrollment ID: O20031218000228 |
| Entity Name | Florida Department Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285738369 PECOS PAC ID: 3072424282 Enrollment ID: O20050604000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sara A Polk, MD 34 S Baldwin Ave, Arcadia, FL 34266-3387 Ph: (863) 491-7580 | Dr Sara A Polk, MD 815 N Mills Ave, Arcadia, FL 34266-8716 Ph: (863) 491-7580 |
Ana L Hernandez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1110 E Gibson St Bldg A, Arcadia, FL 34266 Phone: 863-494-4433 Fax: 863-494-4005 | |
Milton M Aponte-tapia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1110 E Gibson St Bldg A, Arcadia, FL 34266 Phone: 863-494-4433 Fax: 863-993-0119 | |
Fawn G Harrison, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 815 N Mills Ave, Arcadia, FL 34266 Phone: 863-491-7580 Fax: 863-491-7584 | |
Dr. Pedro Raul Villanueva, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 888 N Robert Ave, Arcadia, FL 34266 Phone: 863-494-8410 Fax: 863-491-5306 |