Organization
MARK PORTER ED D CAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PORTER ED.D., CAP (PRESIDENT)
(941) 955-5454
Entity
Organization
Contact information
Practice address
240 N WASHINGTON BLVD, SUITE 304, SARASOTA, FL 34236-5945
(941) 955-5454
Mailing address
240 N WASHINGTON BLVD, SUITE 304, SARASOTA, FL 34236-5945
(941) 955-5454
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY4711
FL
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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