Individual
JAN SUSAN HEERS-PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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