Healthcare Provider Details
I. General information
NPI: 1881660702
Provider Name (Legal Business Name): SARA A POLK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/28/2006
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
815 N MILLS AVE
ARCADIA FL
34266-8716
US
IV. Provider business mailing address
34 S BALDWIN AVE
ARCADIA FL
34266-3387
US
V. Phone/Fax
- Phone: 863-491-7580
- Fax: 863-491-7584
- Phone: 863-491-7580
- Fax: 863-491-7584
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | ME 38070 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: