Individual
MR. ALEX ERIC PORRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T., M.M.P.
Contact information
Practice address
9700 PHILIPS HWY, SUITE 107, JACKSONVILLE, FL 32256-1380
(904) 294-2209
Mailing address
6430 LENCZYK DR, JACKSONVILLE, FL 32277-2589
(904) 294-2209
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA47015
FL
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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