Potak, Matt

Potak, Matt is an individual health care provider with primary practice located at 11350 66Th St Ste 111 , Largo FL 33773-5524. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Potak, Matt can be contacted via phone (727) 504-6539.

Contact Information

Primary practice address
11350 66Th St Ste 111 Largo FL 33773-5524
Phone: (727) 504-6539
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1962736132
LBN Legal business name Potak, Matt
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2009
Last updated Mar 19th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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