Healthcare Provider Details

I. General information

NPI: 1003038738
Provider Name (Legal Business Name): DR. JOSEPH W. POITIER JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOSEPH W. POITIER JR. M.D.

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12955 BISCAYNE BLVD STE 320
NORTH MIAMI FL
33181-2022
US

IV. Provider business mailing address

12955 BISCAYNE BLVD STE 320
NORTH MIAMI FL
33181-2022
US

V. Phone/Fax

Practice location:
  • Phone: 305-895-3231
  • Fax: 305-895-3271
Mailing address:
  • Phone: 305-895-3231
  • Fax: 305-895-3271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberME38778
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME38778
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME38778
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: