MEDICARE: DR. BRANDY RAE POLANCO DNP, FNP-BC

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	363L00000X	Nurse Practitioner	11031904	FL
2	363LF0000X	Family Nurse Practitioner	11031904	FL
3	363LP2300X	Primary Care Nurse Practitioner	11031904	FL

General Provider Information

NPI Number	:	1386404101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDY RAE POLANCO DNP, FNP-BC

Provider Business Mailing Address
First Line	:	19148 ELSTON WAY
Second Line	:
City	:	ESTERO
State	:	FL
Zip	:	33928-6491
Country	:	US
Telephone Number	:	714-616-8116
Fax Number	:

Provider Business Practice Location Address
First Line	:	10676 COLONIAL BLVD STE 20
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-8715
Country	:	US
Telephone Number	:	239-288-7949
Fax Number	:

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

Provider Enumeration Date	:	03/20/2024
Last Update Date	:	05/01/2024

Similar Medicare Providers

1790522522 — MISS DALLAS LYNEE VAUGHN PT, DPT
Practice Location Address:

10676 COLONIAL BLVD STE 50
FORT MYERS, FL
33913-8715

Practice Phone: 941-870-0110
Practice Fax: 239-465-4504

1659789188 — MRS. NADINE-ANN ORINTHEA SINGH APRN
Practice Location Address:

10676 COLONIAL BLVD STE 20
FORT MYERS, FL
33913-8715

Practice Phone: 239-222-1829
Practice Fax: 239-294-3637

1639661937 — PREMIER MOBILE HEALTH SERVICES CORPORATION
Practice Location Address:

10676 COLONIAL BLVD STE 20
FORT MYERS, FL
33913-8715

Practice Phone: 239-222-1829
Practice Fax: 239-443-4516

1790348233 — DR. ERIC P ECK DO
Practice Location Address:

10676 COLONIAL BLVD STE 30
FORT MYERS, FL
33913-8715

Practice Phone: 413-438-7848
Practice Fax: 239-256-5307

1548931991 — DRQUIT LLC
Practice Location Address:

10676 COLONIAL BLVD STE 30
FORT MYERS, FL
33913-8715

Practice Phone: 708-567-7829
Practice Fax: 239-256-5307

1386327872 — PREMIER MOBILE MEDICAL CLINIC PLLC
Practice Location Address:

10676 COLONIAL BLVD STE 20
FORT MYERS, FL
33913-8715

Practice Phone: 239-288-7949
Practice Fax: 239-208-3944

Directions to “ DR. BRANDY RAE POLANCO DNP, FNP-BC” 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 © 2007-2025 (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.