# PEDIATRIC POTENTIALS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982624771
- **Authorized official:** MR. BRIAN ARNONE (PRESIDENT)
- **Authorized official phone:** (407) 322-3962

## Contact information

- **Practice address:** 295 WAYMONT CT, LAKE MARY, FL 32746-6744
- **Practice address phone:** (407) 322-3962
- **Practice address fax:** (407) 323-1614
- **Mailing address:** 295 WAYMONT CT, LAKE MARY, FL 32746-6744
- **Mailing address phone:** (407) 322-3962
- **Mailing address fax:** (407) 323-1614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 10/22/2008
