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Organization

PORTOGUES ASSISTING, LLC

Active
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Organization

PORTOGUES ASSISTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARMEN G PORTOGUES PA-C (PHYSICIAN ASSISTANT)
(954) 856-3438
Entity
Organization

Contact information

Practice address
2572 SW 156TH AVE, MIRAMAR, FL 33027-4276
(954) 856-3438
Mailing address
2572 SW 156TH AVE, MIRAMAR, FL 33027-4276
(954) 856-3438

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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