Organization
DYNAMIC MEDICAL TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD PORTER MD (OWNER)
(561) 714-4527
Entity
Organization
Contact information
Practice address
11158 MAINSAIL CT, WELLINGTON, FL 33467-7415
(561) 714-4527
Mailing address
11158 MAINSAIL CT, WELLINGTON, FL 33467-7415
(561) 714-4527
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME87260
FL
Other
Enumeration date
02/03/2007
Last updated
08/22/2020
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