Individual
MARC E PORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1321
(863) 284-1730
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT., LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD427273
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME124696
FL
2086S0102X
Surgical Critical Care Physician
MD427273
PA
Other
Enumeration date
03/14/2007
Last updated
09/20/2016
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