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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 |