Individual
KATHERINE E PORUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
297125
NY
2086X0206X
Surgical Oncology Physician
Primary
ME159803
FL
Other
Enumeration date
04/12/2012
Last updated
02/06/2023
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