MEDICARE: DR. JOSEPH POLCARO D.O.

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	207VM0101X	Maternal & Fetal Medicine Physician	2016017358	MO
2	207V00000X	Obstetrics & Gynecology Physician	25MB05676400	NJ
3	207VM0101X	Maternal & Fetal Medicine Physician	OS22669	FL
4	207V00000X	Obstetrics & Gynecology Physician	2016017358	MO
5	207V00000X	Obstetrics & Gynecology Physician	0102206718	VA

General Provider Information

NPI Number	:	1598716920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH POLCARO D.O.

Provider Business Mailing Address
First Line	:	621 S NEW BALLAS RD STE 2007B
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8265
Country	:	US
Telephone Number	:	314-991-5000
Fax Number	:	314-991-5035

Provider Business Practice Location Address
First Line	:	13601 BRUCE B DOWNS BLVD STE 250
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-4652
Country	:	US
Telephone Number	:	813-291-2623
Fax Number	:	813-438-4797

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	12/02/2025

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Directions to “ DR. JOSEPH POLCARO D.O.” Practice Location

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