Potenti, Fabio M

Potenti, Fabio M is an sole proprietor health care provider with primary practice located at 2950 Cleveland Clinic Blvd , Weston FL 33331-3609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Potenti, Fabio M can be contacted via phone (954) 689-5784.

Contact Information

Primary practice address
2950 Cleveland Clinic Blvd Weston FL 33331-3609
Phone: (954) 689-5784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME75795 Florida

Profile Details

NPI number 1063448173
LBN Legal business name Potenti, Fabio M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Mar 23rd, 2017 - about 7 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063448173 NPPES
Florida MEDICAID 271217200
Florida Other 50587
Florida Other 0182289
Florida Other 179405
Florida Other 294851
Florida Other 901933
Florida Other 1048169
Florida Other 487353400
Florida Other 48224

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