Individual
CHARLES EUGENE POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4450 W EAU GALLIE BLVD STE 250, MELBOURNE, FL 32934-7215
(321) 751-6671
Mailing address
1975 SNAPDRAGON DR NW, PALM BAY, FL 32907-7207
(606) 585-5448
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME128442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024494300
—
FL
Enumeration date
09/04/2007
Last updated
06/19/2025
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