Individual
ANNETTE GRIFFIN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1376 BRICKYARD RD, SUITE 4, CHIPLEY, FL 32428-6391
(850) 415-6781
(850) 415-6783
Mailing address
1376 BRICKYARD RD, SUITE 4, CHIPLEY, FL 32428-6391
(850) 415-6784
(850) 415-6783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME86761
FL
282NR1301X
Rural Acute Care Hospital
ME86761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266148900
—
FL
Enumeration date
07/25/2006
Last updated
08/07/2013
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