Individual
JOSEPH LEON PORTNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4035 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
(813) 775-4030
Mailing address
4035 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME117149
FL
208000000X
Pediatrics Physician
NA
MO
Other
Enumeration date
07/13/2007
Last updated
01/04/2017
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