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Individual

MRS. DRINA GERALDINE PORTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN-BC

Contact information

Practice address
7406 FULLERTON ST, JACKSONVILLE, FL 32256-3552
(305) 336-2711
(954) 920-9855
Mailing address
7406 FULLERTON ST, JACKSONVILLE, FL 32256-3552
(305) 336-2711
(954) 920-9855

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN2621802
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302867400
FL
01
APRN2621802
FLORIDA BOARD OF NURSING
FL
Enumeration date
11/02/2005
Last updated
06/22/2020
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