Individual
MARISA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20803 BISCAYNE BLVD STE 503, AVENTURA, FL 33180-1432
(305) 363-1956
(305) 630-8578
Mailing address
20803 BISCAYNE BLVD STE 503, AVENTURA, FL 33180-1432
(305) 363-1956
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME117100
FL
Other
Enumeration date
08/09/2007
Last updated
05/24/2023
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