person
Dorothy Whatley Porter, PA
Medical Physician Assistant in Port Orange, Florida
NPI 1871849133

Dorothy Whatley Porter is a Medical Physician Assistant based in Jacksonville, FL and is specialized in Medical. Dorothy Whatley Porter practices in Port Orange, FL and has the professional credentials of PA. The NPI Number for Dorothy Whatley Porter is 1871849133 and holds a License No. PA9106692 (Florida).

The current practice location address for Dorothy Whatley Porter is 3635 S Clyde Morris Blvd, Port Orange, FL and can be reached out via phone at 386-788-1242 and via fax at 386-756-8802.

Location: 3635 S Clyde Morris Blvd, Port Orange, FL, 32256-6004
person
Provider Profile Details
NPI Number
1871849133
Provider Name
Dorothy Whatley Porter
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3635 S Clyde Morris Blvd, Port Orange, FL, 32256-6004
Phone Number
386-788-1242
Fax Number
386-756-8802
Provider Enumeration Date
07/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006441000 05 FL
Y0CE7 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
3635 S Clyde Morris Blvd
City
State
Zip
32129-2300
Phone Number
386-788-1242
Fax Number
386-756-8802
person
Provider Business Mailing Address Details
Address
3635 S Clyde Morris Blvd
City
State
Zip
32129-2300
Phone Number
386-788-1242
Fax Number
386-756-8802
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9106692 (Florida)
Definition
Definition to come...
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