Individual
RONALD M PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(561) 747-2234
Mailing address
PO BOX 908, JUPITER, FL 33468-0908
(561) 748-2889
(561) 748-1523
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME47779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02351
BCBS
FL
05
—
043380200
—
FL
Enumeration date
05/24/2006
Last updated
06/03/2014
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