Organization
MARISA POTTER, MD P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA POTTER MD (PRESIDENT)
(612) 655-4045
Entity
Organization
Contact information
Practice address
20803 BISCAYNE BLVD STE 503, AVENTURA, FL 33180-1432
(305) 363-1956
Mailing address
20803 BISCAYNE BLVD STE 503, AVENTURA, FL 33180-1432
(305) 363-1956
(305) 630-8578
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
06/02/2023
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