SearchFlorida164W00000X

Jackie Polk, LPN

NPI 1922256437 · on the registry since 2008 · sole proprietor

Practice

Address
1201 1st St S
Winter Haven, FL 33880
Phone
(863) 297-1702
Fax
(863) 291-6755
Organisation at this address
Genoa Healthcare Llc
Winter Haven Hospital Inc
Baycare Medical Group Inc
Winter Haven Hospital Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
119

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-09-09

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