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

Mauricio Polanco, PA

Individual provider Physician Assistant · NPI 1790099281

Mauricio Polanco, PA is a Physician Assistant in Temple Terrace, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone: (813) 978-9700
Fax: (813) 558-6187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9104523 (FL)

Record details

NPI number1790099281
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 27, 2010
Last updated in NPPESOctober 13, 2017
Mailing address13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925

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