Dwight Polivka, ARNP

NPI 1750399150 · on the registry since 2006

Practice

Address: 2804 Remington Green Cir Ste 1
Tallahassee, FL 32308
Phone: (850) 656-6269
Fax: (850) 877-5270
Organisation at this address: Larry C. Deeb, M.D., P.A.
North Florida Medical Centers, Inc.
The Southeast Asthma And Allergy Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida