Organization
PATS PERFECT FIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA W POTTER CMOF (OWNER)
(352) 377-6060
Entity
Organization
Contact information
Practice address
3432 W UNIVERSITY AVE, GAINESVILLE, FL 32607-2403
(352) 377-6060
(352) 377-6061
Mailing address
3432 W UNIVERSITY AVE, GAINESVILLE, FL 32607-2403
(352) 377-6060
(352) 377-6061
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280446
AV-MED
FL
01
—
M2565
BLUE CROSS
FL
Enumeration date
02/12/2007
Last updated
08/22/2020
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