| NPI | 1073144473 |
|---|---|
| Doing Business As | PORTER WELLNESS & INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DEBORA LYNN PORTER Physician/ Owner 386-317-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-05-05 |