Individual
BRANDON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
930 MAR WALT DRIVE, SUITE A, FORT WALTON BEACH, FL 32547
(850) 244-0406
Mailing address
930 MAR WALT DRIVE, SUITE A, FORT WALTON BEACH, FL 32547
(850) 244-0406
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS4964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS44964
HEARING AID SPECIALIST LICENSE NUMBER
FL
Enumeration date
10/10/2013
Last updated
10/10/2013
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