NPI

Polly Flaxman

NPI 1235962754

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DMD
Type
Individual
Enumeration date
2024-08-21
Last updated
2025-01-14

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Specialties

Licenses

License FL
DN29572

Location

Practice location
630 N Main St
City
Williston FL
Postal code
32696-1705
Phone
(352) 528-2447

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Williston, FL. 138 records in the public file.

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