Individual
POOJA S POTHIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 E VENICE AVE STE C, VENICE, FL 34292-3190
(941) 499-0800
(941) 499-0801
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME110866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01026112
MEDICARE RAILROAD
FL
Enumeration date
03/15/2007
Last updated
07/29/2025
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