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1164621652
JOSEPH LEON PORTNOY
RIVERVIEW, FL
NPI
1164621652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME117149)
Additional Taxonomies
208000000X Pediatrics
(Licence: MO NA)
Enumeration Date
2007-07-13
Last Update Date
2017-01-04
Business Address
-- JOSEPH LEON PORTNOY MD
4035 CRESCENT PARK DR
RIVERVIEW, FL 33578-3605
Phone number: 813-775-4030
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Mailing Address
-- JOSEPH LEON PORTNOY MD
4035 CRESCENT PARK DR
RIVERVIEW, FL 33578-3605
Phone number:
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