Provider Demographics
NPI:1437447471
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:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SHEARER
Authorized Official - Last Name:POSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-372-3672
Mailing Address - Street 1:12921 SW 1ST RD STE 219
Mailing Address - Street 2:
Mailing Address - City:TIOGA
Mailing Address - State:FL
Mailing Address - Zip Code:32669-5709
Mailing Address - Country:US
Mailing Address - Phone:352-372-3672
Mailing Address - Fax:352-378-1117
Practice Address - Street 1:12921 SW 1ST RD STE 219
Practice Address - Street 2:
Practice Address - City:TIOGA
Practice Address - State:FL
Practice Address - Zip Code:32669-5709
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:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME41976174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01364Medicare PIN
FLB73773Medicare UPIN