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Individual

MITCH POTASH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LAT

Contact information

Practice address
2351 SE 12TH AVE, HOMESTEAD, FL 33034-3511
(305) 245-7000
Mailing address
3446 SW 113TH CT, MIAMI, FL 33165-3420
(305) 220-6505

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 267
FL

Other

Enumeration date
03/27/2006
Last updated
07/08/2007
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