Individual
DR. SANTOSH POTDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17222 HOSPITAL BLVD STE 116, BROOKSVILLE, FL 34601-8925
(352) 877-4749
(352) 283-8697
Mailing address
17222 HOSPITAL BLVD STE 116, BROOKSVILLE, FL 34601-8925
(352) 877-4749
(352) 283-8697
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
35089317
OH
208600000X
Surgery Physician
35089317
OH
208600000X
Surgery Physician
Primary
ME114536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001623400
—
FL
05
—
009381000
—
FL
Enumeration date
04/19/2006
Last updated
01/10/2023
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