Individual
DONALD PORTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1555 INDIAN RIVER BLVD, B-120, VERO BEACH, FL 32960-7103
(772) 778-9621
(772) 778-3494
Mailing address
PO BOX 918953, ORLANDO, FL 32891-8953
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS6625
FL
Other
Enumeration date
06/23/2006
Last updated
04/23/2009
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