Individual
DR. WILLIAM MARSHALL PORTNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 SW 62ND AVE STE 124, MIAMI, FL 33155-3009
(305) 662-8377
(305) 663-8513
Mailing address
3100 SW 62ND AVE STE 124, MIAMI, FL 33155-3009
(305) 662-8377
(305) 663-8513
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
150098
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
175480
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01634500
—
NY
Enumeration date
10/09/2006
Last updated
07/07/2022
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