Individual
ANABEL PORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
109 MARGARET ST, BRANDON, FL 33511-5203
(813) 654-2544
(813) 353-4391
Mailing address
109 MARGARET ST, BRANDON, FL 33511-5203
(813) 654-2544
(813) 353-4391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9103368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2930731
—
FL
Enumeration date
04/24/2007
Last updated
12/12/2014
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