Most Relevant Information
Provider Data
| NPI Number: | 1003276445 |
| Provider Name: | MARIA ALTAGRACIA BLANCO DE POLANCO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | IMH10770 |
Most Important Dates
| Enumeration Date: | 02/27/2016 |
| Last Updated: | 02/27/2016 |
Provider Practice Location
11500 MALVERNS LOOP
ORLANDO
FL
328326025
Practice Location Phone/Fax
| Phone: | 4074907000 |
| Fax: |
Provider Mailing Location
11500 MALVERNS LOOP
ORLANDO
FL
328326025
Provider Mailing Phone/Fax
| Phone: | 4074907000 |
| Fax: |