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Phyllis Porter

NPI 1952842528 · on the registry since 2017 · sole proprietor

Practice

Address
6650 103rd St
Apt 401
Jacksonville, FL 32210
Phone
(904) 559-5434

Registry record

Primary taxonomy
251C00000X
251C00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida