Provider Demographics
NPI:1871546093
Name:POIRIER, THOMAS P (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:POIRIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7551 FOREST OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-2437
Mailing Address - Country:US
Mailing Address - Phone:352-331-1892
Mailing Address - Fax:352-331-1892
Practice Address - Street 1:8916 NW 12TH LN
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6771
Practice Address - Country:US
Practice Address - Phone:352-331-1892
Practice Address - Fax:352-331-1892
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0066130207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL440001306OtherRAILROAD MEDICARE
FL375437500Medicaid
FL440001306OtherRAILROAD MEDICARE
FL375437500Medicaid