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NPI Code Detail

MEDICARE: DR. SCOTT J POLLAK MD

MEDICARE: DR. SCOTT J POLLAK MD
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
1207RC0001XClinical Cardiac Electrophysiology PhysicianME50582FL
2207RC0000XCardiovascular Disease PhysicianME50582FL
3207RI0011XInterventional Cardiology PhysicianME50582FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629062245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT J POLLAK MD
Provider Business Mailing Address
First Line : 1745 N MILLS AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1851
Country : US
Telephone Number : 407-841-7151
Fax Number : 407-648-2259
Provider Business Practice Location Address
First Line : 1745 N MILLS AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1851
Country : US
Telephone Number : 407-841-7151
Fax Number : 407-648-2259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 06/29/2015

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