MS. FANNY POLYDOROFF NPI 1942705330

NPI Information

NPI: 1942705330
Provider Name: MS. FANNY POLYDOROFF
Classification: Registered Nurse - 163WG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
1201 N.W. 16TH STREET
MIAMI, FL
ZIP 33125
Phone: (305) 575-7000
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MS. Fanny Polydoroff is a gastroenterology registered nurse in Miami, FL. MS. Fanny Polydoroff NPI is 1942705330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1201 N.W. 16TH STREET
MIAMI, FL
ZIP 33125
Phone: (305) 575-7000

The enumeration date for this NPI number is 3/27/2018 and was last updated on 3/27/2018.

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	163WG0100X	Registered Nurse	Gastroenterology	9224472	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	2398983089	OTHER	FLORIDA	JOB

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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