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Individual

FABIO M POTENTI

Active
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Individual

FABIO M POTENTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME75795
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0182289
GROUP HEALTH INC
FL
01
1048169
COMUNITU CARE NETWORK
FL
01
179405
JACKSON MEMORIAL HEALTH
FL
05
271217200
FL
01
294851
AVMED HEALTH PLANS
FL
01
48224
BLUE CROSS BLUE SHIELD
FL
01
487353400
DEPARTMENT OF LABOR
FL
01
50587
NHP
FL
01
901933
CIGNA
FL
Enumeration date
06/23/2006
Last updated
03/23/2017
Update your record

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