Provider Demographics
NPI:1265629224
Name:POLARIS HEALTHCARE SERVICES, PLLC
Entity Type:Organization
Organization Name:POLARIS HEALTHCARE SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:KERDEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-306-3062
Mailing Address - Street 1:13195 NE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-4506
Mailing Address - Country:US
Mailing Address - Phone:786-306-3062
Mailing Address - Fax:
Practice Address - Street 1:13195 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4506
Practice Address - Country:US
Practice Address - Phone:786-306-3062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care