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Richard H Pollak

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NPI Number Detailed Information

Provider Information:

Name: Richard H Pollak
Gender: M
Provider License Number If Given: ME22494

NPI Information:

NPI: 1518960533
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 6/19/2018

Provider Business Mailing Address:

Address: 2900 CORPORATE WAY DOOR D
Miramar, FL 33025
Phone Number: 9542765685
Fax Number: 9549857074

Provider Business Practice Location Address:

Address: 20803 BISCAYNE BLVD STE 204
Aventura, FL 33180
Phone Number: 9542657900
Fax Number: 9542760262

Provider Taxonomy:

Primary: 207RC0000X
Secondary (if any):
State: FL

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