Individual provider · Type 1 NPI
Ernesto Martell Polo, PA-C
Surgical Physician Assistant · Clermont, FL
NPI number
1790339893
Active
Practice location
16966 Cagan Ridge Blvd Ste 220
Clermont, FL 34714-9656
Fax (321) 843-1673
Other practice locations
- 4302 Alton Rd Ste 220, Miami Beach, FL 33140-2818 · (305) 674-2090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA9114867 (FL) |
| Surgical Physician Assistant Primary | 363AS0400X | PA9114867 (FL) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
Other surgical physician assistant providers in Clermont
About NPI 1790339893
Ernesto Martell Polo, PA-C's National Provider Identifier is 1790339893, issued on Jul 26, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Clermont, FL. The record was last updated on Sep 19, 2024.