DR. MARINA POLUR (NPI# 1639302078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639302078 |
| Entity Type | Individual |
| Full Name | DR. MARINA POLUR |
| Credential | M.D. |
| Practice Address |
5323 Millenia Lakes Blvd Suite 121 Orlando FL 32839 |
| Mailing Address |
725 N 12th Ave Arcadia FL 34266-8752 |
| Practice Telephone | 4078300414 |
| Mailing Telephone | 2399365250 |
| Mailing Fax Number | 2399369970 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME112727 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 005986400 | 05 | |
| FL | MEDICARE PTAN | GI895Z | 01 |
| Street Address |
5323 MILLENIA LAKES BLVD SUITE 121 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396904504 | Maribel Nieves | Counselor | 5323 Millenia Lakes Blvd, Suite 300, Orlando, FL 32839-3392 | 2008-06-03 |
| 1093135352 | Yount Psychological Services, Pllc | Psychologist | 5323 Millenia Lakes Blvd, Suite 300, Orlando, FL 32839-3392 | 2014-04-24 |
| 1962786483 | Millenia Psychiatry & Research, Inc. | Psychiatry & Neurology | 5323 Millenia Lakes Blvd, #121, Orlando, FL 32839-3392 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916951 | Good Ole Days Adult Living Facility LLC | Assisted Living Facility | 3913 Trovati Street, Orlando, FL 32839 | 2020-06-15 |
| 1396399846 | Steven Outlaw | Specialist/Technologist | 216 Spencer St, Orlando, FL 32839 | 2019-08-01 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
| 1154841153 | Jillisa Clobree Tarver | Technician, Other | 5451 Millenia Lakes Blvd Apt 186, Orlando, FL 32839 | 2017-06-21 |
| 1760917728 | Beatriz Baez | Health Educator | 4836 Ligustrom Way, Orlando, FL 32839 | 2017-04-27 |
| 1740637115 | Marines Vigo | Psychologist | 1114 Redman St, Apt B, Orlando, FL 32839 | 2016-05-16 |
| 1417332560 | Kimona Lawrence | Optometrist | 4200 Conroy Road, Orlando, FL 32839 | 2015-07-29 |
| 1942627732 | Jennifer Lombardo | Social Worker | 4530 S Orange Blossom Trl # 570, Orlando, FL 32839 | 2014-03-18 |
| 1336413863 | Cheryl Lynn Anderson | Social Worker | 3805 Millenia Blvd, #110, Orlando, FL 32839 | 2012-03-01 |
| Find all providers in zip 32839 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114575636 | Mosaico Mental Health Center Corp | Psychiatry & Neurology | 12315 Lake Underhill Rd Ste B, Orlando, FL 32828-4507 | 2019-08-28 |
| 1326602566 | Lake Nona Psychiatric Associates, LLC | Psychiatry & Neurology | 8511 Adalina Pl, Orlando, FL 32827-7277 | 2019-04-23 |
| 1063986461 | Sunshine Premier Wellness Center LLC | Psychiatry & Neurology | 4365 Hunters Park Ln # 50, Orlando, FL 32837-7614 | 2019-01-18 |
| 1578918462 | Sbm Medical Services, LLC. | Psychiatry & Neurology | 14225 Ludgate Hill Ln, Orlando, FL 32828-7921 | 2016-04-27 |
| 1487919932 | Luis Javier Olivera-rodriguez | Psychiatry & Neurology | 6001 Vineland Rd Ste 109, Orlando, FL 32819-7829 | 2012-07-11 |
| 1568627701 | Bay Hill Psychiatric Associates LLC | Psychiatry & Neurology | 2869 Wilshire Dr Ste 203, Orlando, FL 32835-3282 | 2008-07-28 |
| 1598932378 | The Gutman Pain/accident Center, Inc | Psychiatry & Neurology | 301 N Fern Creek Ave, Orlando, FL 32803-5400 | 2008-05-12 |
| 1750407680 | Samuel Sidney Mcclure | Psychiatry & Neurology | 504 N.wymore Rd., Orlando, FL 32789 | 2007-03-22 |
| 1801912894 | Aysha Meloukheia | Psychiatry & Neurology | 422 S Alafaya Trail Suite 17, Orlando, FL 32828 | 2007-03-21 |
| 1962542282 | Earl Paul Taitt Jr. | Psychiatry & Neurology | 4151 Hunters Park Lane, Suite 100, Orlando, FL 32837-7690 | 2007-02-07 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.