Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME77220 | FL |
NPI | 1134328495 |
---|---|
Provider Name | Dr. Jennifer Pollak |
First Address | Hollywood, FL 33021-3567 |
Second Address | Hollywood, FL 33021-3567 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 23/09/2013 |