Organization
PORT OF MIAMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRWIN POTASH (PHYSICIAN)
(805) 358-4265
Entity
Organization
Contact information
Practice address
1015 N AMERICA WAY STE 150, MIAMI, FL 33132-2017
(305) 358-4265
Mailing address
3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
(805) 375-0800
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
AP0172887
FL
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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