PORTER PREMIER DERMATOLOGY AND SURGERY CENTER, PLLC

MELBOURNE, FL
NPI1104152495
Entity TypeOrganization
Authorized ContactANTHONY JEROME PORTER
Owner
321-308-0659
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: FL  ME96233)
Enumeration Date2009-10-22
Last Update Date2018-03-17
Business Address
PORTER PREMIER DERMATOLOGY AND SURGERY CENTER, PLLC
1515 W NASA BLVD STE 101
MELBOURNE, FL 32901-2605
Phone number: 321-308-0659
Mailing Address
PORTER PREMIER DERMATOLOGY AND SURGERY CENTER, PLLC
1515 W NASA BLVD STE 101
MELBOURNE, FL 32901-2605
Phone number: 321-308-0659
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