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Individual

DR. SALMA Z POTHIAWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15310 AMBERLY DR, SUITE 150, TAMPA, FL 33647-2199
(813) 978-8888
(813) 972-8974
Mailing address
15051 S TAMIAMI TRL, SUITE 203, FORT MYERS, FL 33908-5182
(239) 437-8810
(239) 313-2555

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME117932
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016614500
FL
01
389444
AVMED
FL
01
L1UUX
FLORIDA BLUE
FL
Enumeration date
05/19/2010
Last updated
03/28/2017
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