Tony Ray Potter, PA-C

NPI #1245467828 in Melbourne, Florida

Provider Information

NPI Number
1245467828
Entity Type
Individual
Name
Tony Ray Potter, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jun 22, 2009
Last Updated
Oct 3, 2019

Practice Location

Address
400 SHERIDAN RD
State
Florida
ZIP Code
32901-3184
Phone
(321) 722-5200

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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