Provider Demographics
NPI:1952642365
Name:POSNER, IRA PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:IRA
Middle Name:PETER
Last Name:POSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3975 SW 58TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6225
Mailing Address - Country:US
Mailing Address - Phone:954-243-9744
Mailing Address - Fax:954-963-2797
Practice Address - Street 1:3975 SW 58TH ST
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6225
Practice Address - Country:US
Practice Address - Phone:954-243-9744
Practice Address - Fax:954-963-2797
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-09
Last Update Date:2013-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 0039622207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery