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JOSE A PORRAS PHYSICIAN ASSISTANT

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1548533433

Individual Registrant:
 JOSE A PORRAS PHYSICIAN ASSISTANT
Gender: M
Sole Proprietor

Location and contact information for practice:
1511 FOREST HILL BLVD  LAKE CLARKE SHORES, FL 33406-6077 US
Tel: 561-433-3556  Fax: 561-967-5559

Contact information for business:
1511 FOREST HILL BLVD  LAKE CLARKE SHORES, FL 33406-6077 US
Tel: 561-433-3556  Fax: 561-967-5559

Registration Information:
NPI: 1548533433
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA 9106388

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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