| Polo Medical Center Inc | |
|
5030 Champion Blvd Suite G-9 Boca Raton FL 33496-2473 | |
| (561) 998-0510 | |
| (561) 998-0163 |
| Full Name | Polo Medical Center Inc |
|---|---|
| Speciality | Chiropractor |
| Location | 5030 Champion Blvd, Boca Raton, Florida |
| Authorized Official Name and Position | Barbara Ann Turkell (PRESIDENT) |
| Authorized Official Contact | 5619980510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polo Medical Center Inc 5030 Champion Blvd Suite G-9 Boca Raton FL 33496-2473 Ph: (561) 998-0510 | Polo Medical Center Inc 5030 Champion Blvd Suite G-9 Boca Raton FL 33496-2473 Ph: (561) 998-0510 |
| NPI Number | 1003814187 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003814187 | NPI | - | NPPES |
| 70891 | Other | FL | BC/BS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME55498 (Florida) | Secondary |
| 111N00000X | Chiropractor | CH0005420 (Florida) | Primary |
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