Provider Demographics
NPI:1154521995
Name:POLENDER, ALLISON ILENE (MD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ILENE
Last Name:POLENDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:ILENE
Other - Last Name:ZIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2716 W VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6328
Mailing Address - Country:US
Mailing Address - Phone:813-875-8032
Mailing Address - Fax:
Practice Address - Street 1:2716 W VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6328
Practice Address - Country:US
Practice Address - Phone:813-875-8032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN8007207V00000X
FLME 102173207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology