CLINTON J POTTER MD PA NPI 1407394109

NPI Information

  • NPI: 1407394109
  • Provider Name: CLINTON J POTTER MD PA
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: ADVANCED INDIVIDUALIZED MEDICINE OF NAPLES
  • CLIA Number: 10D2142129
  • Address: 720 GOODLETTE RD N
    STE. 204
    NAPLES, FL
    ZIP 34102
  • Phone: (239) 260-3880

Map and Directions

Get Directions

NPI Details

CLINTON J POTTER MD PA is a primary care clinic center in Naples, FL. CLINTON J POTTER MD PA NPI is 1407394109. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Individualized Medicine Of Naples.

The provider's business location address is:

720 GOODLETTE RD N
STE. 204
NAPLES, FL
ZIP 34102-656
Phone: (239) 260-3880
Fax: (239) 260-3881

The provider's authorized official is Clinton J. Potter .
The authorized official title is President/secretary and has the following contact phone number (415) 377-7905.

The CLIA number assigned to this NPI record is 10D2142129 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2017 and was last updated on 2/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareME 103986FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI