Organization
PEDIATRIC POTENTIALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN ARNONE (PRESIDENT)
(407) 322-3962
Entity
Organization
Contact information
Practice address
295 WAYMONT CT, LAKE MARY, FL 32746-6744
(407) 322-3962
(407) 323-1614
Mailing address
295 WAYMONT CT, LAKE MARY, FL 32746-6744
(407) 322-3962
(407) 323-1614
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888328900
—
FL
Enumeration date
07/21/2006
Last updated
10/22/2008
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