Healthcare Provider Details

I. General information

NPI: 1871746263
Provider Name (Legal Business Name): JOHN S POSER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2008
Last Update Date: 10/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 SW 2ND AVE SUITE 452
GAINESVILLE FL
32601-6271
US

IV. Provider business mailing address

720 SW 2ND AVE SUITE 452
GAINESVILLE FL
32601-6271
US

V. Phone/Fax

Practice location:
  • Phone: 352-372-3672
  • Fax: 352-378-1117
Mailing address:
  • Phone: 352-372-3672
  • Fax: 352-378-1117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME0041976
License Number StateFL

VIII. Authorized Official

Name: DR. JOHN S POSER
Title or Position: PRESIDENT
Credential: MD
Phone: 352-372-3672