Richard B Polakoff MD PA

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

ME0046546 Issued in FL

Legal business name

RICHARD B POLAKOFF MD PA

Practice address

4850 W Oakland Park Blvd
Ste 143
Lauderdale Lakes, FL 33313-7260

Phone

(954) 676-9980

Fax

(954) 676-5288

NPI assigned

Oct 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Polakoff, M.D.

Title

Medical Doctor

Phone

(954) 676-5183

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1740730688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD",
            "address_2": "STE 143",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137260",
            "telephone_number": "954-676-9980",
            "fax_number": "954-676-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD",
            "address_2": "STE 143",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137260",
            "telephone_number": "954-676-9980",
            "fax_number": "954-676-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD B POLAKOFF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "POLAKOFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-676-5183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "ME0046546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Denise Reid-Bispham, MA
• Lorna K Reid, ARNP
• Sara Zaidman Rejtman, L.C.S.W.
• Dorothy Remy, APRN
• Maresa Reyes
• Richard F Mercado DPM PA
• Latrice Francis Richards, LPC-S, CLC
• Eglintine Rigaud
• Rajani Rigaud, MSN, APRN, FNP-BC
• Joan M Rivera Toro, BCBA, CCC-SLP, MS

• Exclusive Provider Organization in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.