Anthony Jerome Porter
Dermatologist
1515 W Nasa Blvd Suite 101
Melbourne
, Florida 32901-2605
Anthony Jerome Porter
Dermatologist
1515 W Nasa Blvd Suite 101
Melbourne
, Florida 32901-2605
(321) 309-2881
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Anthony Jerome Porter
- 1515 W Nasa Blvd Suite 101
- Melbourne, FL
- Zip : 32901-2605
- Fax : (321) 309-2881
- Phone : (321) 308-0659
Second Address
- Anthony Jerome Porter
- 1515 W Nasa Blvd Suite 101
- Melbourne, FL
- Zip : 32901-2605
- Fax : (321) 309-2881
- Phone : (321) 308-0659
Reviews
FAQs
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What type of doctor is Anthony Jerome Porter
In what state does Anthony Jerome Porter practice in?
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What is Anthony Jerome Porter ’s gender?
Is Anthony Jerome Porter a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 01058940A | IN |
| Y | 207N00000X | Dermatologist | ME96233 | FL |
National Provider Identifier
| NPI | 1013957133 |
|---|---|
| Provider Name | Anthony Jerome Porter |
| First Address | Melbourne, FL 32901-2605 |
| Second Address | Melbourne, FL 32901-2605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2006 |
| Last Update Date | 30/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1358244 | AETNA (01) | FL |
| 246877 | WELLCARE (01) | FL |
| 276029100 | (05) | FL |
| 55044 | BLUE CROSS BLUE SHIELD (01) | FL |
| 7650363 | AETNA (01) | FL |
| H61306 | (02) | FL |
| P00415676 | RAILROAD MEDICARE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.