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Organization
PORTOGUES ASSISTING, LLC
Active
Organization
PORTOGUES ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN G PORTOGUES PA-C (PHYSICIAN ASSISTANT)
(954) 856-3438
Entity
Organization
Contact information
Practice address
2572 SW 156TH AVE, MIRAMAR, FL 33027-4276
(954) 856-3438
Mailing address
2572 SW 156TH AVE, MIRAMAR, FL 33027-4276
(954) 856-3438
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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