Organization
PORTER RADIATION ONCOLOGY PA
Active
Other names
Charlotte Community Radiation Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN H PORTER M.D. (PRESIDENT/ADMINISTRATOR)
(941) 924-8700
Entity
Organization
Contact information
Practice address
3080 HARBOR BLVD, PORT CHARLOTTE, FL 33952-6720
(941) 625-0111
Mailing address
3080 HARBOR BLVD, PORT CHARLOTTE, FL 33952-6720
(941) 625-0111
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF1791
R.R.MEDICARE
—
Enumeration date
05/26/2006
Last updated
02/04/2008
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