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JAVIER ALEMAN PORTO APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1417413964

Individual Registrant:
 JAVIER  ALEMAN PORTO APRN
Gender: M
Not Sole Proprietor

Location and contact information for practice:
325 1ST ST N  WINTER HAVEN, FL 33881-4111 US
Tel: 863-293-1191  Fax: --

Contact information for business:
500 E CENTRAL AVE  WINTER HAVEN, FL 33880-3094 US
Tel: 863-293-1191  Fax: --

Registration Information:
NPI: 1417413964
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLAPRN9394393

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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