Provider Demographics
NPI:1043238140
Name:POSER, JOHN S (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:S
Last Name:POSER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12921 SW 1ST RD
Mailing Address - Street 2:#219
Mailing Address - City:TIOGA
Mailing Address - State:FL
Mailing Address - Zip Code:32669-5708
Mailing Address - Country:US
Mailing Address - Phone:352-372-3672
Mailing Address - Fax:352-378-1117
Practice Address - Street 1:12921 SW 1ST RD
Practice Address - Street 2:#219
Practice Address - City:TIOGA
Practice Address - State:FL
Practice Address - Zip Code:32669-5708
Practice Address - Country:US
Practice Address - Phone:352-372-3672
Practice Address - Fax:352-378-1117
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2011-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0041976208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068637900Medicare ID - Type Unspecified
FLB73773Medicare UPIN
FL01364Medicare ID - Type Unspecified