Individual
MISS PORTIA P WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 EAST JAMES ST, DAVENPORT, FL 33837
(863) 934-6216
Mailing address
PO BOX 1512, DAVENPORT, FL 33836-1512
(863) 934-6216
(863) 421-6849
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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