Polsky, Ethan G
Polsky, Ethan G is an individual health care provider with primary practice located at 4712 N Armenia Ave Suite 200, Tampa FL 33603-2611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Polsky, Ethan G can be contacted via phone (813) 874-7500.Contact Information
Primary practice address
4712 N Armenia Ave Suite 200
Tampa FL 33603-2611
Phone: (813) 874-7500
Fax: (813) 877-1397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | ME95516 | Florida |
Profile Details
| NPI number | 1871559740 |
|---|---|
| LBN Legal business name | Polsky, Ethan G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jul 9th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871559740 | NPPES |
| Florida | MEDICAID | 275204200 |
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