MEDICARE: KERRI POLLACK PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9114481	FL

General Provider Information

NPI Number	:	1164454963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRI POLLACK PA

Provider Business Mailing Address
First Line	:	4130 1ST AVE SW
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-2641
Country	:	US
Telephone Number	:	516-263-4485
Fax Number	:

Provider Business Practice Location Address
First Line	:	8931 COLONIAL CENTER DR STE 400
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7809
Country	:	US
Telephone Number	:	239-334-6626
Fax Number	:	239-334-0404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	02/26/2025

Similar Medicare Providers

1285637298 — DIVIS K KHAIRA M.D.
Practice Location Address:

8931 COLONIAL CENTER DR STE 300
FORT MYERS, FL
33905-7809

Practice Phone: 239-343-9567
Practice Fax: 239-343-9571

1457349003 — RIE AIHARA MD
Practice Location Address:

8931 COLONIAL CENTER DR , SUITE 301
FORT MYERS, FL
33905-7809

Practice Phone: 239-277-5770
Practice Fax: 239-985-1911

1982643474 — MICHAEL STANLEY WERTHEIM MD
Practice Location Address:

8931 COLONIAL CENTER DR STE 300
FORT MYERS, FL
33905-7809

Practice Phone: 239-343-9567
Practice Fax: 239-343-9571

1316981194 — GENESISCARE USA OF FLORIDA LLC
Practice Location Address:

8931 COLONIAL CENTER DR STE 400
FORT MYERS, FL
33905-7809

Practice Phone: 239-334-6626
Practice Fax: 239-334-0404

1669532065 — DR. AHMED A. HASSAN M.D.
Practice Location Address:

8960 COLONIAL CENTER DR , SUITE 206
FORT MYERS, FL
33905-7809

Practice Phone: 239-343-9560
Practice Fax: 239-343-9624

1427261726 — DR. JORGE V PEREZ DE ARMAS MD
Practice Location Address:

8931 COLONIAL CENTER DR STE 300
FORT MYERS, FL
33905-7809

Practice Phone: 239-343-9567
Practice Fax: 239-343-9571

Directions to “ KERRI POLLACK PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.