Individual
MRS. PAULA R POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5217 11TH AVE S, GULFPORT, FL 33707-3604
(727) 851-7666
Mailing address
5217 11TH AVE S, GULFPORT, FL 33707-3604
(727) 851-7666
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
235527250Z
FL
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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