JOSE F POLANCO MD PA
NPI 1114177938
Internal Medicine in Bradenton, FL

Active since September 29, 2008CLIA 10D0966022 · Waiver
311 3RD AVE E, BRADENTON, FL 34208(941) 708-3358 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose F Polanco Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE F POLANCO MD PA (NPI 1114177938) is a healthcare organization registered as an internal medicine in Bradenton, Florida and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Jose F Polanco, Owner, as its authorized official.

NPPES Registry Identity

NPI1114177938
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJOSE F POLANCO MD PA
Location Address311 3RD AVE EBradenton, FL 34208-1014
Mailing Address311 3rd Ave EBradenton, FL 34208-1014 · (941) 708-3358 · Fax (941) 749-1046
Organization SubpartNo
Authorized OfficialJose F PolancoOwner · (941) 708-3358
Enumeration DateSeptember 29, 2008
Last NPPES UpdateAugust 30, 2012
NPI 1114177938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME73836
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
311 3RD AVE E, Bradenton, FL 34208

Other Identifiers 2

Medicaid003131900FL
Medicare PIN419213AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0966022

Jose F Polanco MD PA · Bradenton, FL
Active · expires Oct 5, 2027
CLIA Number10D0966022
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorJose F. Polanco
Laboratory Phone(941) 708-3358
Laboratory LocationJose F Polanco MD PA311 3rd Ave East, Bradenton, FL 34208
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Adult Medicine)
311 3RD AVE E
BRADENTON, FL 34208
Nurse Practitioner (Family)
311 3RD AVE E
BRADENTON, FL 34208
Internal Medicine
311 3RD AVE E
BRADENTON, FL 34208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose F Polanco MD PA's NPI number?

The NPI number for Jose F Polanco MD PA is 1114177938. It was assigned to this organization in the NPPES registry on September 29, 2008.

Where is Jose F Polanco MD PA located?

Jose F Polanco MD PA is located at 311 3rd Ave E, Bradenton, FL 34208. The listed phone number is (941) 708-3358.

What is Jose F Polanco MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Jose F Polanco MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0966022) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jose F Polanco MD PA was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.