Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher Polanco

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306500756

Christopher Polanco is a Nurse Practitioner in Coconut Grove, Florida. Qualified in 2021, 5 years ago. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021

Practice location Address checks out

2665 S Bayshore Dr Ste 220
Coconut Grove, FL 33133-5402
Phone: (866) 918-2114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11015732 (FL)

Record details

NPI number1306500756
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 22, 2021
Last updated in NPPESOctober 22, 2021
Certification dateOctober 5, 2021
Mailing address6415 Nw 199th Ln, Hialeah, FL 33015-2157

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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