Individual
DR. MARK PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., CAP
Contact information
Practice address
1 S SCHOOL AVE, SARASOTA, FL 34237-6014
(941) 951-2916
Mailing address
1 S SCHOOL AVE, SARASOTA, FL 34237-6014
(941) 951-2916
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 4711
FL
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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