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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689868622 | NPPES |
| Florida | MEDICAID | 024494300 |
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