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Organization
POTHEN KORUTH MD LLC
Active
Organization
POTHEN KORUTH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN VICTORIA BROWN (OFFICE MANAGER)
(407) 333-3303
Entity
Organization
Contact information
Practice address
758 N SUN DR, LAKE MARY, FL 32746-2599
(407) 333-3303
(407) 333-3342
Mailing address
758 N SUN DR, LAKE MARY, FL 32746-2599
(407) 333-3303
(407) 333-3342
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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