# FLORIDA POTOMAC HEALTH P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POTOMAC HEALTH P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083338115
- **Legal business name:** POTOMAC HEALTH P.C.
- **Authorized official:** JAY A KIMMEL (PHYSICIAN PRESIDENT)
- **Authorized official phone:** (860) 728-6740

## Contact information

- **Practice address:** 1110 BRICKELL AVE STE 400, MIAMI, FL 33131-3135
- **Practice address phone:** (860) 558-7027
- **Mailing address:** 1177 HIGH RIDGE RD, STAMFORD, CT 06905-1221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2022
- **Last updated:** 10/25/2022
