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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