MEDICARE: NADINE POLEXI

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	253J00000X	Foster Care Agency	100013381	FL

General Provider Information

NPI Number	:	1427347905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADINE POLEXI

Provider Business Mailing Address
First Line	:	7833 FALABELLA CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-8291
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7833 FALABELLA CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-8291
Country	:	US
Telephone Number	:	407-340-4603
Fax Number	:

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

Provider Enumeration Date	:	04/05/2011
Last Update Date	:	04/05/2011

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Directions to “ NADINE POLEXI ” Practice Location

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