MANUEL PORTALATIN

JACKSONVILLE, FL
NPI1255309332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME66899)
Enumeration Date2006-03-14
Last Update Date2018-12-18
Business Address
Dr. MANUEL PORTALATIN MD
9090 REGENCY SQUARE BLVD CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32211-8119
Phone number: 904-724-5576
Mailing Address
Dr. MANUEL PORTALATIN MD
PO BOX 45443
SALT LAKE CITY, UT 84145-0443
Phone number: 904-202-1032
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