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Individual
DR. JASON E. PORTNOF
Active
Individual
DR. JASON E. PORTNOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN16048
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
ME101326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008090701
—
FL
Enumeration date
07/29/2009
Last updated
03/14/2024
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