Individual
DANA LYNN PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 SIMONTON ST, KEY WEST, FL 33040-3110
(305) 293-1549
(305) 293-1547
Mailing address
1100 SIMONTON ST, KEY WEST, FL 33040-3110
(305) 293-1549
(305) 293-1547
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN9282543
FL
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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