Healthcare Provider Details

I. General information

NPI: 1063853380
Provider Name (Legal Business Name): MICHAEL KENNETH POSKEY ARNP-FAMILY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2013
Last Update Date: 01/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 RIGGINS RD
TALLAHASSEE FL
32308-5317
US

IV. Provider business mailing address

PO BOX 13859
TALLAHASSEE FL
32317-3859
US

V. Phone/Fax

Practice location:
  • Phone: 850-205-6232
  • Fax: 850-402-9130
Mailing address:
  • Phone: 850-205-6232
  • Fax: 850-402-9130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3203922
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: