Individual
MS. CRISTA SUE PORPIGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 462-3939
Mailing address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
EMT510336
FL
363A00000X
Physician Assistant
Primary
PAT9105033
FL
Other
Enumeration date
06/25/2009
Last updated
10/20/2009
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