OrganizationActive
Polk Correctional Institution
NPI 1679810972 · Health Maintenance Organization · Polk City, FL
Provider details
- NPI number
- 1679810972
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Long DO, Chief Health Officer(863) 984-2273
- License
- PA9100731 (FL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10800 Evans Rd
Polk City, FL 33868-6925
Phone: (863) 984-2273
Fax: (863) 984-1021
Street-level locationGet directions
Mailing address
1531 Mccrea Dr
Lutz, FL 33549-3583
Other names (DBA / former)
- Other name
- Florida Department of Corrections
Registry dates
- Enumerated
- 2013-01-08
- Last updated
- 2013-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.