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Individual

DAVID A POTOCHNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
483 N SEMORAN BLVD, SUITE 103, WINTER PARK, FL 32792-3800
(407) 680-2273
(321) 274-0224
Mailing address
483 N SEMORAN BLVD, SUITE 103, WINTER PARK, FL 32792-3800
(407) 680-2273
(321) 274-0224

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106970
FL

Other

Enumeration date
11/27/2012
Last updated
06/06/2016
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