Organization
PORIS PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHENIE L PORIS MD (OWNER)
(407) 558-1616
Entity
Organization
Contact information
Practice address
324 E PAR ST STE 100, ORLANDO, FL 32804-4004
(321) 446-2509
(508) 923-9894
Mailing address
324 E PAR ST STE 100, ORLANDO, FL 32804-4004
(321) 446-2509
(508) 923-9894
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
03/17/2021
Last updated
06/01/2022
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