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Individual
MICHAEL PORRAS
Active
Individual
MICHAEL PORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI3470
FL
235Z00000X
Speech-Language Pathologist
10154
FL
235Z00000X
Speech-Language Pathologist
Primary
20155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111177300
—
FL
Enumeration date
01/23/2018
Last updated
08/04/2022
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