Individual
DR. JOSE SALVADOR PORTOCARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9993 TOWN LAKE DR, ORLANDO, FL 32832-5836
(646) 430-3957
Mailing address
9993 TOWN LAKE DR, ORLANDO, FL 32832-5836
(646) 430-3957
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9847
FL
Other
Enumeration date
02/22/2011
Last updated
01/01/2022
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