JOSEPH LEON PORTNOY

RIVERVIEW, FL
NPI1164621652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME117149)
Additional Taxonomies208000000X Pediatrics
(Licence: MO  NA)
Enumeration Date2007-07-13
Last Update Date2017-01-04
Business Address
-- JOSEPH LEON PORTNOY MD
4035 CRESCENT PARK DR
RIVERVIEW, FL 33578-3605
Phone number: 813-775-4030
Mailing Address
-- JOSEPH LEON PORTNOY MD
4035 CRESCENT PARK DR
RIVERVIEW, FL 33578-3605
Phone number: