Provider Demographics
NPI:1437371176
Name:JOSEPH W. POITIER, JR., M.D., P.A.
Entity Type:Organization
Organization Name:JOSEPH W. POITIER, JR., M.D., P.A.
Other - Org Name:JOSEPH W. POITIER, JR., M.D., P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:POITIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:305-895-3231
Mailing Address - Street 1:1175 NE 125TH ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5015
Mailing Address - Country:US
Mailing Address - Phone:305-895-3231
Mailing Address - Fax:
Practice Address - Street 1:1175 NE 125TH ST
Practice Address - Street 2:SUITE 306
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5015
Practice Address - Country:US
Practice Address - Phone:305-895-3231
Practice Address - Fax:305-895-3271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0038778174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL94422Medicare ID - Type Unspecified
FLD63237Medicare UPIN