Individual
MR. DAVID SAMUEL PORTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1601 S.W. ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 376-1611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5436
FL
Other
Enumeration date
07/27/2006
Last updated
06/26/2015
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