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Contact Information

MARINA POLUR, MD
5323 MILLENIA LAKES BLVD
SUITE 121
ORLANDO, FL32839
 Phone: 407-830-0414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MARINA POLUR · (Female)

NPI Number 1639302078
Status Active
Credentials MD
Entity Individual
Enumeration date 09/02/2009
Last updated 10/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME112727
  • WI License # 72064
  • FL Medicaid 005986400
  • FL Other GI895Z MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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