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Organization

EDWARD V. POTTER, D.C., P.A.

Active
Other names
Edward Potter, D.C.
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD V. POTTER D.C. (PRESIDENT)
(941) 955-7788
Entity
Organization

Contact information

Practice address
3424 17TH ST, SARASOTA, FL 34235-8906
(941) 955-7788
(941) 365-8611
Mailing address
3424 17TH ST, SARASOTA, FL 34235-8906
(941) 955-7788
(941) 365-8611

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4047
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0501352-00
FL
Enumeration date
09/25/2010
Last updated
09/25/2010
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