Individual
DR. JAMES KEVIN POITRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 VIA BELLA BLVD, SUITE 101, LAND O LAKES, FL 34639-5429
(813) 948-1498
(813) 355-5040
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME88071
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME88071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267882900
—
FL
01
—
P01080504
R&R MEDICARE
FL
Enumeration date
06/18/2006
Last updated
11/03/2015
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