Organization
PORTER RADIATION ONCOLOGY PA
Active
Other names
Radiation Oncology of Venice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN H PORTER M.D. (PRESIDENT/ADMINISTRATOR)
(941) 485-2340
Entity
Organization
Contact information
Practice address
901 TAMIAMI TRL S, VENICE, FL 34285-3630
(941) 485-2340
(941) 485-5378
Mailing address
901 TAMIAMI TRL S, VENICE, FL 34285-3630
(941) 485-2340
(941) 485-5378
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF1791
R.R.MEDICARE
—
Enumeration date
05/24/2006
Last updated
02/04/2008
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