LISA M POTTHAST

TAMPA, FL
NPI1740211325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA912742)
Enumeration Date2006-07-05
Last Update Date2007-12-28
Business Address
-- LISA M POTTHAST PA
12902 USF MAGNOLIA DR MDC 44
TAMPA, FL 33612-9416
Phone number: 813-745-3200
Mailing Address
-- LISA M POTTHAST PA
PO BOX 917770
ORLANDO, FL 32891-7770
Phone number:
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