Individual
MISS LAKEISHA L PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Mailing address
5802 N 30TH ST, TAMPA, FL 33610-1469
(813) 235-5200
(813) 236-5222
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29192524
—
FL
Enumeration date
06/17/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us