Individual
ERNESTO FIDEL PORRAS POLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16244 S MILITARY TRL, SUITE 470, DELRAY BEACH, FL 33484-6534
(561) 865-5151
Mailing address
513 NW LAKE WHITNEY PL, STE 101, PORT SAINT LUCIE, FL 34986-1618
(772) 344-7228
(772) 344-7158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME94761
FL
Other
Enumeration date
07/05/2006
Last updated
03/14/2019
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