Individual
JOHN H POTOMSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO CMA
Contact information
Practice address
720 E NEW HAVEN AVE, MELBOURNE, FL 32901
(321) 724-4545
(321) 728-4168
Mailing address
720 E NEW HAVEN AVE STE 11, MELBOURNE, FL 32901-5474
(321) 724-4545
(321) 728-4168
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
OS4425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067596200
—
FL
Enumeration date
06/14/2006
Last updated
10/04/2019
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