Provider Demographics
NPI:1780889758
Name:POLECRITTI, MARC ROBERT (DO)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:ROBERT
Last Name:POLECRITTI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:10429 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-5043
Mailing Address - Country:US
Mailing Address - Phone:352-556-5248
Mailing Address - Fax:352-556-5249
Practice Address - Street 1:10429 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5043
Practice Address - Country:US
Practice Address - Phone:352-556-5248
Practice Address - Fax:352-556-5249
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2010-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS109302086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery