Individual
DR. JASON A PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WINDERLY PL, SUITE 115, MAITLAND, FL 32751-7247
(407) 875-0555
Mailing address
500 WINDERLY PL, SUITE 115, MAITLAND, FL 32751-7247
(407) 875-0555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME106601
FL
Other
Enumeration date
10/02/2008
Last updated
07/15/2010
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