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Individual

DR. PORTIA JANETTE PETTITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AP

Contact information

Practice address
1301 ALTON RD, MIAMI BEACH, FL 33139-3811
(305) 531-5994
Mailing address
PO BOX 191408, MIAMI BEACH, FL 33119-1408
(773) 307-0694

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
198.000656
IL
171100000X
Acupuncturist
Primary
AP 2888
FL

Other

Enumeration date
05/25/2011
Last updated
05/25/2011
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