Organization
POTU CARDIOLOGY PL
Active
Organization
POTU CARDIOLOGY PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANGANATHA POTU MD (OWNER)
(352) 228-8429
Entity
Organization
Contact information
Practice address
6122 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-8722
(352) 228-8429
Mailing address
6122 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-8722
(352) 228-8429
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME36819
FL
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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