Organization Active NPI

Mitchell Pollak MD PA

  • Medical Specialty Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1851572549
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
00050840 Issued in FL
Legal business name
MITCHELL POLLAK MD PA
Practice address
8100 Royal Palm Blvd
Suite 105
Coral Springs, FL 33065-5733
Phone
(954) 345-6789
Fax
(954) 345-7998
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. Mitchell R. Pollak, M.D.
Title
Owner
Phone
(954) 345-6789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 00050840 FL Primary

Addresses

Primary practice location

8100 Royal Palm Blvd
Suite 105
Coral Springs, FL 33065-5733

Mailing address

8100 Royal Palm Blvd
Suite 105
Coral Springs, FL 33065-5733
Phone (954) 345-6789

National Provider Directory

National Provider Directory

Locations

8100 Royal Palm Blvd
Ste 105
Coral Springs, FL 33065
Phone (954) 344-2288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1851572549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ROYAL PALM BLVD",
            "address_2": "SUITE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655733",
            "telephone_number": "954-345-6789",
            "fax_number": "954-345-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ROYAL PALM BLVD",
            "address_2": "SUITE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655733",
            "telephone_number": "954-345-6789",
            "fax_number": "954-345-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL POLLAK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "POLLAK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-345-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "00050840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.