Dr. Kirksak Poonkasem
Family Doctor Family Doctor - Hospice and Palliative Medicine
6600 Madison St
New Port Richey
, Florida 34652-1971
Dr. Kirksak Poonkasem
Family Doctor Family Doctor - Hospice and Palliative Medicine
6600 Madison St
New Port Richey
, Florida 34652-1971
(727) 266-4943
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Kirksak Poonkasem
- Po Box 10744
- Clearwater, FL
- Zip : 33757-8744
- Fax : (727) 266-4943
- Phone : (727) 532-0002
Second Address
- Dr. Kirksak Poonkasem
- 6600 Madison St
- New Port Richey, FL
- Zip : 34652-1971
- Fax : (727) 266-4951
- Phone : (727) 815-7208
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | ME98316 | FL |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME98316 | FL |
National Provider Identifier
| NPI | 1134382831 |
|---|---|
| Provider Name | Dr. Kirksak Poonkasem |
| First Address | Clearwater, FL 33757-8744 |
| Second Address | New Port Richey, FL 34652-1971 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2008 |
| Last Update Date | 17/04/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 015913400 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.