Individual
DR. MANUEL PORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7225 N UNIVERSITY DR, STE 201, TAMARAC, FL 33321-2952
(954) 724-3400
(954) 724-9721
Mailing address
7225 N UNIVERSITY DR, STE 201, TAMARAC, FL 33321-2952
(954) 724-3400
(954) 724-9721
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0028637
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0028637
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042775600
—
FL
05
—
254166100
—
FL
Enumeration date
06/24/2005
Last updated
05/02/2016
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