Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TONY RAY POTTER, PA-C
DeactivatedTONY RAY POTTER, PA-C is a Physician Assistant healthcare provider located in MELBOURNE, Florida. NPI 1245467828 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · MELBOURNE, FL
This NPI has been deactivated.
The record was deactivated on October 5, 2015.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1245467828
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2009 (6.2868852459016 yrs)
- Last Updated
- Oct 3, 2019
- Deactivated
- Oct 5, 2015
- License
-
PA9112295 (FL)
Practice Information
- Address
-
400 SHERIDAN RDMELBOURNE, FL, 329013184Browse FL providers · Browse ZIP 32901
- Phone
- 3217225200
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MELBOURNE, FL
| Name | Credential | NPI |
|---|---|---|
| SARA JANE SENGEL | PA | 1033111323 |
| DENNIS RYAN | PA | 1700888989 |
| LYNN ANN MEYER | PA | 1578557567 |
| BEVERLY ANN COLLINS | PA C | 1700866647 |
| MRS. ANNE C GREGG | PA | 1295708568 |
| MR. DAMIAN L VELEZ | PA C | 1871566208 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.