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

Dr. Angelique Renae Polidoro, DO

Individual provider Family Medicine Physician · NPI 1396945317

Dr. Angelique Renae Polidoro, DO is a Family Medicine Physician in Port Charlotte, Florida. Licensed in Florida and North Carolina. Registered with an NPI since 2007.

Licensed in
FL, NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone: (941) 255-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS17556 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2010-01605 (NC)
General Practice Physician Taxonomy 208D00000X · Licence 2010-01605 (NC)

Record details

NPI number1396945317
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 18, 2007
Last updated in NPPESMarch 7, 2023
Certification dateDecember 6, 2022

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