Provider Demographics
NPI:1871746263
Name:JOHN S POSER MD PA
Entity type:Organization
Organization Name:JOHN S POSER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:POSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-372-3672
Mailing Address - Street 1:720 SW 2ND AVE
Mailing Address - Street 2:SUITE 452
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-6271
Mailing Address - Country:US
Mailing Address - Phone:352-372-3672
Mailing Address - Fax:352-378-1117
Practice Address - Street 1:720 SW 2ND AVE
Practice Address - Street 2:SUITE 452
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-6271
Practice Address - Country:US
Practice Address - Phone:352-372-3672
Practice Address - Fax:352-378-1117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0041976208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLB73773Medicare UPIN
FL01364Medicare PIN