Parmanand Vijay Poonai, M.D.

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

ME27071 Issued in FL

Practice address

103 Sunset Cir
Port St Joe, FL 32456-2115

Phone

(850) 229-8348

Fax

(850) 229-8630

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gulf Coast Medical Center Primary Care LLC

  • Obstetrics & Gynecology Physician
  • Panama City, FL
  • NPI 1285679050
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720117690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SUNSET CIR",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324562115",
            "telephone_number": "850-229-8348",
            "fax_number": "850-229-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUNSET CIR",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324562115",
            "telephone_number": "850-229-8348",
            "fax_number": "850-229-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POONAI",
        "first_name": "PARMANAND",
        "middle_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "ME27071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Investment Coordinators Inc
• Pharmacy Investment Coordinators, Inc
• Monica Pineda, PT
• Melvin Leroy Pitt Jr.
• Casio Pittman
• Port St Joe Opco LLC
• Premier Rehab Management, LLC
• Shameka Ashawn Raines
• Judith Renfroe Romiti, RN
• Jeffrey Robert Root, M.D.

• All providers in Port St Joe, FL
• Adolescent Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.