| Michael J. Poff, Lcsw, Pa | |
|
1325 W Fletcher Ave Tampa FL 33612-3310 | |
| (813) 964-5684 | |
| (813) 908-2880 |
| Full Name | Michael J. Poff, Lcsw, Pa |
|---|---|
| Speciality | Social Worker |
| Location | 1325 W Fletcher Ave, Tampa, Florida |
| Authorized Official Name and Position | Michael J. Poff (PRESIDENT) |
| Authorized Official Contact | 8139645684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Poff, Lcsw, Pa 1325 W Fletcher Ave Tampa FL 33612-3310 Ph: (813) 964-5684 | Michael J. Poff, Lcsw, Pa 1325 W Fletcher Ave Tampa FL 33612-3310 Ph: (813) 964-5684 |
| NPI Number | 1932388162 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/24/2007 |
| Medicare PECOS PAC ID | 1658538509 |
|---|---|
| Medicare Enrollment ID | O20120203000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932388162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW0003019 (Florida) | Primary |
| Provider Name | Michael Joseph Poff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871782003 PECOS PAC ID: 4284891136 Enrollment ID: I20120203000270 |
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