Individual provider · Type 1 NPI
Blake Reese Potter
Other Technician · Groveland, FL
NPI number
1588515993
Active
Practice location
13609 Rester Rd
Groveland, FL 34736-9391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
About NPI 1588515993
Blake Reese Potter's National Provider Identifier is 1588515993, issued on Feb 4, 2026. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Groveland, FL. The record was last updated on Feb 4, 2026.