Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | ME35562 | FL |
NPI | 1063513539 |
---|---|
Provider Name | Dr. Joel S Policzer |
First Address | Parkland, FL 33067-0903 |
Second Address | Miami, FL 33131-2011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D82623 | (02) |