Organization Active NPI

Poiesis Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Tequesta, FL
National Provider Identifier
1538496328
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
POIESIS MEDICAL LLC
Practice address
250 Tequesta Drive
Suite 200
Tequesta, FL 33469-2765
Phone
(561) 842-7560
Fax
(561) 972-4421
NPI assigned
Nov 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory Devin Wita
Title
President and Ceo
Phone
(561) 842-7560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

250 Tequesta Drive
Suite 200
Tequesta, FL 33469-2765

Mailing address

250 Tequesta Drive
Suite 200
Tequesta, FL 33469-2765
Phone (561) 842-7560

National Provider Directory

National Provider Directory

Locations

250 Tequesta Dr
Ste 200
Tequesta, FL 33469
Phone (561) 842-7560

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1538496328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 TEQUESTA DRIVE",
            "address_2": "SUITE 200",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692765",
            "telephone_number": "561-842-7560",
            "fax_number": "561-972-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 TEQUESTA DRIVE",
            "address_2": "SUITE 200",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692765",
            "telephone_number": "561-842-7560",
            "fax_number": "561-972-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POIESIS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "WITA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DEVIN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "561-842-7560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.