IndividualActive
Aivlys Perez Polanco, M.D.
NPI 1245307453 · Dermatology Physician · New Port Richey, FL
Provider details
- NPI number
- 1245307453
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- ME130895 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
8209 State Road 54
New Port Richey, FL 34655-3016
Phone: (727) 569-1055
Fax: (727) 569-1505
Approximate (ZIP-level) locationGet directions
Mailing address
151 Southhall Ln
Maitland, FL 32751-7176
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2017-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.