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Dr. Angelique Renae Polidoro, DO
Family Medicine Physician in Port Charlotte, Florida
NPI 1396945317

Angelique Renae Polidoro is a Family Medicine Physician based in Fort Myers, FL. Angelique Renae Polidoro practices in Port Charlotte, FL and has the professional credentials of DO. The NPI Number for Angelique Renae Polidoro is 1396945317 and holds a License No. 2010-01605 (Florida).

The current practice location address for Angelique Renae Polidoro is 19531 Cochran Blvd, Port Charlotte, FL and can be reached out via phone at 941-255-3535. You can also correspond with Angelique Renae Polidoro through the mailing address at 2675 WINKLER AVE FL 2, FORT MYERS, FL - 33901-9342 (mailing address contact number: 877-856-3774).

Location: 19531 Cochran Blvd, Port Charlotte, FL, 33901-9342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396945317
Provider Name
Angelique Renae Polidoro
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
19531 Cochran Blvd, Port Charlotte, FL, 33901-9342
Phone Number
941-255-3535
Fax Number
Provider Enumeration Date
07/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2010-01605 01 NC MEDICAL LICENSE
5916841 05 NC
D09076700 01 NJ CDS
institution
Provider Business Practice Location Address Details
Address
19531 Cochran Blvd
City
Port Charlotte
State
Florida
Zip
33948-2081
Phone Number
941-255-3535
Fax Number
person
Provider Business Mailing Address Details
Address
19531 Cochran Blvd
City
Port Charlotte
State
Florida
Zip
33948-2081
Phone Number
941-255-3535
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2010-01605 (North Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
2010-01605 (North Carolina)
Definition
Definition to come...
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