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1205613189
CARLA PORTER
CLEARWATER, FL
NPI
1205613189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: 200521)
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
CARLA PORTER CST/CSFA
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761-2102
Phone number: 727-313-4764
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Mailing Address
CARLA PORTER CST/CSFA
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761-2102
Phone number: 727-313-4764
Copy
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