Organization
SBCRS INC
Active
Organization
SBCRS INC
Active
Other names
SOUTH BROWARD COLON AND RECTAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
FABIO M POTENTI M.D. (C.E.O.)
(954) 607-4237
Entity
Organization
Contact information
Practice address
904 NW 9TH AVE, FORT LAUDERDALE, FL 33311-7204
(954) 607-4237
(954) 779-7526
Mailing address
904 NW 9TH AVE, FORT LAUDERDALE, FL 33311-7204
(954) 607-4237
(954) 779-7526
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME75795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271217200
—
FL
Enumeration date
08/27/2007
Last updated
04/29/2008
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