MEDICARE: KEVIN POSNER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS23349	FL

General Provider Information

NPI Number	:	1568112035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN POSNER DO

Provider Business Mailing Address
First Line	:	1881 SE TIFFANY AVE
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-7567
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:	772-335-7972

Provider Business Practice Location Address
First Line	:	1881 SE TIFFANY AVE
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-7567
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:	772-335-7972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2022
Last Update Date	:	05/18/2026

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