Individual
DR. LEE A PORTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 MEADOWS RD, SUITE 331, BOCA RATON, FL 33486-2349
(561) 347-5656
(561) 347-5656
Mailing address
714 COQUINA CT, BOCA RATON, FL 33432-3004
(561) 347-5656
(561) 347-5656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME35565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039345200
—
FL
01
—
95453
BLUE CROSS BLUE SHIELD OF FLA
FL
01
—
AD286
MEDICARE GROUP PIN
FL
01
—
P00439656
RAILROAD MEDICARE
FL
Enumeration date
10/11/2005
Last updated
05/27/2008
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