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Individual

MR. ROSS WILLIAM PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
475 OSCEOLA ST STE 1100, ALTAMONTE SPRINGS, FL 32701-7857
(407) 831-6200
Mailing address
475 OSCEOLA ST STE 1100, ALTAMONTE SPRINGS, FL 32701-7857
(407) 831-6200
(860) 749-2670

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
032642
CT
208000000X
Pediatrics Physician
Primary
ME167637
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001326421
CT
Enumeration date
08/30/2006
Last updated
04/17/2024
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