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Contact Information

MARTIN D POTTERS, PA
14075 S TOWN LOOP BLVD.
ORLANDO, FL32837
 Phone: 407-438-5858
 Fax: 407-438-7172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARTIN D POTTERS · (Male)

NPI # 1194751800
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/24/2006
Last updated 09/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9100906
  • FL Medicaid 291961300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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