Individual
DR. STEPHENIE LAYNE PORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
324 E PAR ST STE 100, ORLANDO, FL 32804-4004
(321) 446-2509
Mailing address
324 E PAR ST STE 100, ORLANDO, FL 32804-4004
(407) 558-1616
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME122017
FL
208600000X
Surgery Physician
TRN 19123
FL
Other
Enumeration date
07/09/2013
Last updated
06/01/2022
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