Charles T Polis Jr MD PA
Urology in Bradenton, FL. Organization (NPI-2).
NPI number1316912132
StatusActive
Last updated in NPPESFeb 25, 2008
Details
- NPI
- 1316912132
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles T Polis Jr MD PA
- Organization subpart
- No
- Enumeration date
- Feb 23, 2006
- Last updated
- Feb 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Other names
- Urology Associates (Doing Business As)
Practice location
1410 59th Street WBradenton, FL 34209
Phone 941-792-1477 · Fax 941-794-8017
Mailing address
1410 59th Street WBradenton, FL 34209
Phone 941-792-1477 · Fax 941-794-8017
Authorized official
Charles T Polis
President
9417921477
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