Individual
MR. BRUCE ALAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3814 KINSLEY PL, WINTER PARK, FL 32792-6233
(407) 672-2184
(407) 679-2990
Mailing address
3814 KINSLEY PL, WINTER PARK, FL 32792-6233
(407) 672-2184
(407) 679-2990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11561
FL
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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