Kirksak Jay Poonkasem in Clearwater - Integrative Medicine

Kirksak Jay Poonkasem - NPI 1134382831

Kirksak Jay Poonkasem is a Integrative Medicine in Clearwater, Florida. Kirksak Jay Poonkasem practices all healthcare services and medical treatments related to Integrative Medicine. The NPI Number for Kirksak Jay Poonkasem is 1134382831. The last update date is 2022-10-18.

Kirksak Jay Poonkasem's current location address is 300 Pinellas St, Clearwater, Florida. You can contact this provider via phone number 7274618231 and fax number 7272986637. The mailing address for Kirksak Jay Poonkasem is 300 Pinellas St, Clearwater, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirksak Jay Poonkasem
Address 300 Pinellas St, Clearwater, Florida
Phone Number 7274618231
Fax Number 7272986637
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1134382831
Provider Enumeration Date 2008-07-03
Last Updated Date 2022-10-18

Provider Mailing Address Detail

Address 300 Pinellas St
City Clearwater
State Florida (FL)
Post Code 337563804
Phone Number 7274618231
Fax Number 7272986637

Provider's Primary Taxonomy Detail

Speciality Integrative Medicine
Taxonomy 202D00000X
Licence No ME98316
Definition:
A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease - including mind, body, and spirit. C

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15913400 FL --

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FAQs about Kirksak Jay Poonkasem

What is the unique identifier code issued to Kirksak Jay Poonkasem by the Centers for Medicare & Medicaid Services (CMS)?

The Kirksak Jay Poonkasem has been assigned the NPI (National Provider Identifier) 1134382831. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Kirksak Jay Poonkasem?

The Kirksak Jay Poonkasem is situated at 300 Pinellas St, in the city of Clearwater, state of FL, with the zip code 337563804.

What is Kirksak Jay Poonkasem's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kirksak Jay Poonkasem's specialized field of practice is Integrative Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 202D00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1134382831 to Kirksak Jay Poonkasem?

The Centers for Medicare & Medicaid Services originally issued the 1134382831 to Kirksak Jay Poonkasem on 2008-07-03.

When was the information pertaining to Kirksak Jay Poonkasem most recently updated or revised?

The details related to Kirksak Jay Poonkasem, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-18.

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