Individual
RONALD POTOCKI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 PENNSYLVANIA ST, ORLANDO, FL 32806-2937
(321) 843-3220
Mailing address
3300 GALLOWS RD, INOVA CHILDREN'S HOSPITAL: PEDIATRIC RESIDENCY PROGRAM, FALLS CHURCH, VA 22042-3307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0116029428
VA
208000000X
Pediatrics Physician
Primary
OS18559
FL
Other
Enumeration date
06/03/2016
Last updated
06/07/2022
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