# POIESIS MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538496328
- **Authorized official:** MR. GREGORY DEVIN WITA (PRESIDENT AND CEO)
- **Authorized official phone:** (561) 842-7560

## Contact information

- **Practice address:** 250 TEQUESTA DRIVE, SUITE 200, TEQUESTA, FL 33469-2765
- **Practice address phone:** (561) 842-7560
- **Practice address fax:** (561) 972-4421
- **Mailing address:** 250 TEQUESTA DRIVE, SUITE 200, TEQUESTA, FL 33469-2765
- **Mailing address phone:** (561) 842-7560
- **Mailing address fax:** (561) 972-4421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2009
- **Last updated:** 01/11/2012