Individual
JULIE KAY PORTER KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1441 TAMIAMI TRL, PORT CHARLOTTE, FL 33948-1098
(941) 624-4600
(941) 624-6105
Mailing address
563 PARK ESTATES SQUARE, VENICE, FL 34293
(941) 408-0407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC003041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20789
BCBS
FL
Enumeration date
08/30/2006
Last updated
08/02/2010
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