Individual
MARY ANN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM, ARNP
Contact information
Practice address
4604 N FEDERAL HWY, FT LAUDERDALE, FL 33308-5206
(954) 776-1500
(954) 776-1501
Mailing address
300 NE 6TH ST, BOCA RATON, FL 33432-2716
(954) 776-1500
(954) 776-1501
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP9167223
FL
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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