Polidori, Mariano A.

Polidori, Mariano A. is an individual health care provider with primary practice located at 303 Poinciana Island Dr , Sunny Isles Beach FL 33160. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Polidori, Mariano A. can be contacted via phone (631) 383-7326.

Contact Information

Primary practice address
303 Poinciana Island Dr Sunny Isles Beach FL 33160
Phone: (631) 383-7326
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 44758 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME111921 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01064068A Indiana

Profile Details

NPI number 1053590752
LBN Legal business name Polidori, Mariano A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated Sep 5th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053590752 NPPES
Kentucky MEDICAID 7100158310

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