Potts, Charles Eugene

Potts, Charles Eugene is an sole proprietor health care provider with primary practice located at 17 Silver Palm Ave , Melbourne FL 32901-3123. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Potts, Charles Eugene can be contacted via phone (321) 733-2021.

Contact Information

Primary practice address
17 Silver Palm Ave Melbourne FL 32901-3123
Phone: (321) 733-2021
Fax: (321) 727-0884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME128442 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME128442 Florida

Profile Details

NPI number 1689868622
LBN Legal business name Potts, Charles Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2007
Last updated Apr 9th, 2019 - about 5 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 1689868622 NPPES
Florida MEDICAID 024494300

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