MEDICARE: MR. ALEXANDER POISIK MD

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	207T00000X	Neurological Surgery Physician	ME98912	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1356126791	OTHER	FL	GROUP NPI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851320733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEXANDER POISIK MD

Provider Business Mailing Address
First Line	:	PO BOX 565338
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33256-5338
Country	:	US
Telephone Number	:	754-238-1965
Fax Number	:	754-238-1803

Provider Business Practice Location Address
First Line	:	301 NW 84TH AVE STE 303
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-1807
Country	:	US
Telephone Number	:	754-238-1965
Fax Number	:	754-238-1803

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

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	10/14/2024

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Directions to “ MR. ALEXANDER POISIK MD” Practice Location

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