Individual
JENNIFER MARIE PORTOGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 595-1165
Mailing address
6339 SW 43RD ST, MIAMI, FL 33155-5132
(786) 217-7453
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11003477
FL
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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