Individual
ANNETTE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
995 PONDELLA RD., NORTH FORT MYERS, FL 33903
(239) 599-8049
(239) 599-8099
Mailing address
991 PONDELLA RD, NORTH FORT MYERS, FL 33903-3500
(239) 599-8049
(239) 599-8099
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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