Individual
JAMES R PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 SW 24TH AVE APT 604, OCALA, FL 34471-7822
(606) 264-1413
Mailing address
3001 SW 24TH AVE APT 604, OCALA, FL 34471-7822
(606) 264-1413
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3016319
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11023743
FL
Other
Enumeration date
07/06/2021
Last updated
07/20/2023
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