Emmanuel Polanco
Taxi in Wimauma, FL. Individual provider (NPI-1).
NPI number1467167148
StatusActive
Last updated in NPPESJan 22, 2023
Details
- NPI
- 1467167148
- Entity type
- Individual (NPI-1)
- Name
- Emmanuel Polanco
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2023
- Certification date
- Jan 22, 2023
- Last updated
- Jan 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 344600000X | Taxi | – | FL | Yes |
Practice location
5013 Sable Chime DrWimauma, FL 33598-4171
Phone 347-821-2930
Mailing address
5013 Sable Chime DrWimauma, FL 33598-4171
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