Healthcare Provider Details

I. General information

NPI: 1770494478
Provider Name (Legal Business Name): POLITES HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17968 SW 30TH CT
MIRAMAR FL
33029-5509
US

IV. Provider business mailing address

17968 SW 30TH CT
MIRAMAR FL
33029-5509
US

V. Phone/Fax

Practice location:
  • Phone: 267-243-6888
  • Fax:
Mailing address:
  • Phone: 267-243-6888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: JONE POLITES
Title or Position: OWNER
Credential:
Phone: 267-243-6888