Kirksak Jay Poonkasem in Clearwater - Family Medicine
Kirksak Jay Poonkasem - NPI 1134382831
Kirksak Jay Poonkasem is a Family Medicine in Clearwater, Florida. Kirksak Jay Poonkasem practices all healthcare services and medical treatments related to Family 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 | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME98316 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15913400 | FL | -- |
Post Comment/ Review Below
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 Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
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.
Address: 2929 E Thomas Rd, Phoenix, AZ
Address: 5450 Frantz Rd Ste 360, Dublin, OH
Address: Po Box 9, Kingsport, TN
Address: 716 West Columbia Street, Chippewa Falls, WI
Address: 220 Pine St, Williamstown, NJ
Address: 220 Pine St, Williamstown, NJ
Address: Po Box 778, Dickson, TN
Address: 1701n Green Valley Pkwy 5c, Henderson, NV
Address: 500 Old York Road, Jenkintown, PA
Address: Po Box 19070, Green Bay, WI
Address: 1001 W Fayette St, Syracuse, NY
Address: 500 Fort Worth Dr Ste 140, Denton, TX
Address: 75 Hospital Dr, Athens, OH
Address: 1275 Dick Lonas Rd Unit 101, Knoxville, TN
Address: 128 N Locust St, Oak Harbor, OH