Xenia N Polorotoff PA

NPI 1770924797 - Physician Assistant - 363A00000X

NPI Details
NPI 1770924797
Gender Female
Enumeration Date 07/08/2013
Last Updated 07/08/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
1700 S TAMIAMI TRL
SARASOTA FL, 34239-3509, US
Phone (941) 917-8551
Fax
Business Location
PO BOX 116839
ATLANTA GA, 30368-6839, US
Phone (941) 917-8551
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PAT9107310
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According to our database, Xenia N Polorotoff PA NPI is 1770924797, taxonomy code is 363A00000X and license number is PAT9107310, license state is located at Florida. Xenia N Polorotoff PA physically located at 1700 S Tamiami Trl, Sarasota FL, 34239-3509. NPI Number Xenia N Polorotoff PA has the Individual type.

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1770924797 NPI number is provided on an as is basis without warranty of any kind. 1770924797 is maintained by the National Plan & Provider Enumeration System. The contents of Xenia N Polorotoff PA are for informational purposes only.