DR. RICHARD I POLISNER D.P.M. NPI 1144352386

NPI Information

NPI: 1144352386
Provider Name: DR. RICHARD I POLISNER, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
4621 EMERSON ST
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 994-0990
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DR. Richard I Polisner, D.P.M. is a foot and ankle surgery podiatrist in Jacksonville, FL. DR. Richard I Polisner, D.P.M. NPI is 1144352386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4621 EMERSON ST
JACKSONVILLE, FL
ZIP 32207-920
Phone: (904) 994-0990
Fax: (904) 212-1373

The enumeration date for this NPI number is 3/12/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO1333	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T36190	MEDICARE UPIN
2	K7545	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE ID#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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