NPI 1043990567

Taylor R Potter, ATC

Practitioner Athletic Trainer Coral Gables, FL

Practice location

Address: 1150 Campo Sano Ave, Coral Gables, FL 33146-1174
Phone: (786) 268-6200
Mailing address: 1150 Campo Sano Aven 2nd Floor Attn: Maria C Corradine, Coral Gables, FL 33146

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL6998 (FL)

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Registry record

NPI: 1043990567
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2023
Record last updated: 10 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.