Organization directory

<UNAVAIL> fax numbers

Find the listed fax number, review its source, and confirm the receiving office before sending.

104 COMMONWEALTH AVE N STE 1, POLK CITY, FL, 33868-9500
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
<UNAVAIL>
NPI number
1245479161
Practice address
104 COMMONWEALTH AVE N STE 1, POLK CITY, FL, 33868-9500
Telephone
(863) 874-4834
Provider specialty
See registry classification 333600000X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

Before sending, call the listed office to confirm the fax number and the documents it accepts. Report a correction with this page's address and a public source link; do not include private documents.

Organization contacts

Fax contacts and departments

Choose the named recipient or department when available. General fax numbers are identified separately.

Provider listed

Practice location fax

Confirm the correct receiving office before sending.
(863) 874-4837
NPI 1245479161

104 COMMONWEALTH AVE N STE 1, POLK CITY, FL, 33868-9500

Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.

Practice location fax reported by the provider to NPPES

Check destination before sending
Confirm current instructions

Fax destinations can change. Review the organization’s source page before sending important documents.

Open source