NPI Code Details Logo

NPI 1053183012

NPI 1053183012 : POSH MD LLC : SAINT PETERSBURG, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1053183012
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    POSH MD LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/24/2023
-----------------------------------------------------
    Last Update Date     |    03/27/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3254 16TH ST N 
-----------------------------------------------------
    City                 |    SAINT PETERSBURG
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33704-1811
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    813-597-7132
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3254 16TH ST N 
-----------------------------------------------------
    City                 |    SAINT PETERSBURG
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33704-1811
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    813-597-7132
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     JUDITH  BARREIRO 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    813-597-7132
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207VG0400X
-----------------------------------------------------
    Taxonomy Name        |    Gynecology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.