Individual
MICHAEL PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
6609 N SOCRUM LOOP RD, LAKELAND, FL 33809-4182
(863) 333-0119
Mailing address
6609 N SOCRUM LOOP RD, LAKELAND, FL 33809-4182
(863) 333-0119
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
395034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6035163
HCCE
FL
Enumeration date
10/29/2025
Last updated
10/29/2025
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