Individual
MRS. DONNA ROBIN POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4712
(904) 308-7372
(904) 308-2998
Mailing address
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4712
(904) 308-7372
(904) 308-2998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0066571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080121854
MEDICARE RAILROAD
FL
01
—
19310
HEALTHEASE
FL
01
—
27149
BCBS
FL
01
—
3521981-001
CIGNA
FL
05
—
378388000
—
FL
01
—
5957032
AETNA
FL
Enumeration date
08/22/2005
Last updated
07/13/2009
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