DWIGHT LUKE POLIVKA ARNP NPI 1750399150

NPI Information

NPI: 1750399150
Provider Name: DWIGHT LUKE POLIVKA, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2804 REMINGTON GREEN CIR STE 1
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 656-6269
Get Directions

Dwight Luke Polivka, ARNP is a family nurse practitioner in Tallahassee, FL. Dwight Luke Polivka, ARNP NPI is 1750399150. 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:

2804 REMINGTON GREEN CIR STE 1
TALLAHASSEE, FL
ZIP 32308-550
Phone: (850) 656-6269
Fax: (850) 877-5270

The enumeration date for this NPI number is 8/3/2006 and was last updated on 2/16/2021.

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	363LF0000X	Nurse Practitioner	Family	ARNP2238582	FLORIDA	Yes

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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