Individual provider · Type 1 NPI

Jaicy Pottokaran, MD

Student in an Organized Health Care Education/Training Program · Gainesville, FL

NPI number 1679713499 Active

Practice location

2000 SW Archer Rd
Gainesville, FL 32608-1136

Call (352) 273-9180 Map

Other practice locations

  • 263 Farmington Ave, Farmington, CT 06030-0001 · (860) 679-2000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679713499

Jaicy Pottokaran, MD's National Provider Identifier is 1679713499, issued on Mar 6, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, FL. The record was last updated on Apr 13, 2021.