Provider Demographics
NPI:1972126530
Name:POLONIO, CHRISTOPHER (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:POLONIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7243 DELLA DR STE K
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5106
Mailing Address - Country:US
Mailing Address - Phone:407-381-7326
Mailing Address - Fax:321-203-4664
Practice Address - Street 1:7243 DELLA DR STE K
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5106
Practice Address - Country:US
Practice Address - Phone:407-381-7326
Practice Address - Fax:321-203-4664
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME162106207Q00000X, 207Q00000X
WI77545-20207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine