Organization
HEART ASSOCIATES PA
Active
Organization
HEART ASSOCIATES PA
Active
Other names
Ranganatha P. Potu, MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIE QUESENBERRY (OFFICE MANAGER)
(352) 795-9266
Entity
Organization
Contact information
Practice address
5606 W. NORVELL BRYANT HWY, CRYSTAL RIVER, FL 34429
(352) 795-9266
(352) 795-4879
Mailing address
5606 W. NORVELL BRYANT HWY, CRYSTAL RIVER, FL 34429
(352) 795-9266
(352) 795-4879
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0059848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279469100
—
FL
01
—
99078
BCBS
FL
Enumeration date
05/26/2006
Last updated
06/28/2013
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