NPI 1396906707
Polk County Board of County Commissioners
Practice location
- Address
- 615 N Jackson Ave, Bartow, FL 33830-3813
- Phone
- (863) 534-0393
- Mailing address
- 2135 Marshall Edwards Dr, Bartow, FL 33830-6757
Authorised official
- Name
- Samuel (sam) Johnson
- Title
- Chairman
- Phone
- (863) 534-6049
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1396906707
- Entity type
- Organization
- NPI issued
- 18 Jun 2008
- Record last updated
- 18 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.