Anthony Jerome Porter in Melbourne - Dermatology
Anthony Jerome Porter - NPI 1013957133
Anthony Jerome Porter is a Dermatology in Melbourne, Florida. Anthony Jerome Porter practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Anthony Jerome Porter is 1013957133. The last update date is 2014-09-30.
Anthony Jerome Porter's current location address is 1515 W Nasa Blvd, Melbourne, Florida. You can contact this provider via phone number 3213080659 and fax number 3213092881. The mailing address for Anthony Jerome Porter is 1515 W Nasa Blvd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Jerome Porter |
|---|---|
| Address | 1515 W Nasa Blvd, Melbourne, Florida |
| Phone Number | 3213080659 |
| Fax Number | 3213092881 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013957133 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2014-09-30 |
Provider Mailing Address Detail
| Address | 1515 W Nasa Blvd |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329012605 |
| Phone Number | 3213080659 |
| Fax Number | 3213092881 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 01058940A |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7650363 | FL | AETNA | |
| 1358244 | FL | AETNA | |
| 55044 | FL | BLUE CROSS BLUE SHIELD | |
| 276029100 | FL | -- | |
| 246877 | FL | WELLCARE | |
| P00415676 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Anthony Jerome Porter by the Centers for Medicare & Medicaid Services?
The Anthony Jerome Porter has been issued the NPI (National Provider Identifier) 1013957133. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Anthony Jerome Porter?
The Anthony Jerome Porter is physically situated at 1515 W Nasa Blvd, in the city of Melbourne, state of FL, with the postal code 329012605.
What is Anthony Jerome Porter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Anthony Jerome Porter's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
When did the Anthony Jerome Porter receive its 1013957133?
The Anthony Jerome Porter was issued its 1013957133 on 2006-06-07, which is the date when the organization was assigned this unique identifier.
When was the Anthony Jerome Porter's information last updated?
The Anthony Jerome Porter's information was last updated on 2014-09-30.