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Individual

TASIA NADINE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
725 N 12TH AVE, ARCADIA, FL 34266-8752
(863) 494-1242
(863) 491-0466
Mailing address
18117 BISCAYNE BLVD # 1704, AVENTURA, FL 33160-2535
(407) 476-8285

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
9426206
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11017721
FL

Other

Enumeration date
07/22/2020
Last updated
01/04/2023
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