| John E. Polk Correctional Facility | |
|
211 Eslinger Way Sanford FL 32773-6188 | |
| (407) 665-1301 | |
| (407) 665-1236 |
| Full Name | John E. Polk Correctional Facility |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 211 Eslinger Way, Sanford, Florida |
| Authorized Official Name and Position | Noel Gubatan (MEDICAL BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 4076651301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John E. Polk Correctional Facility 211 Eslinger Way Sanford FL 32773-6188 Ph: (407) 665-1301 | John E. Polk Correctional Facility 211 Eslinger Way Sanford FL 32773-6188 Ph: (407) 665-1301 |
| NPI Number | 1518715226 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518715226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | () | Primary |
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