Marvin S Porter in Fort Myers - Procedural Dermatology

Marvin S Porter - NPI 1346201001

Marvin S Porter is a Procedural Dermatology in Fort Myers, Florida. Marvin S Porter practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Marvin S Porter is 1346201001. The last update date is 2007-07-08.

Marvin S Porter's current location address is 8381 Riverwalk Park Blvd, Fort Myers, Florida. You can contact this provider via phone number 2399365425 and fax number 2399365176. The mailing address for Marvin S Porter is 8381 Riverwalk Park Blvd, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Marvin S Porter
Address 8381 Riverwalk Park Blvd, Fort Myers, Florida
Phone Number 2399365425
Fax Number 2399365176
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1346201001
Provider Enumeration Date 2006-03-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8381 Riverwalk Park Blvd
City Fort Myers
State Florida (FL)
Post Code 339198760
Phone Number 2399365425
Fax Number 2399365176

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No ME0030385
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
79022 FL BC BS OF FLA
4199301 FL AETNA

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FAQs about Marvin S Porter

What is the Marvin S Porter's unique identification number?

The Marvin S Porter has been assigned the NPI (National Provider Identifier) Number 1346201001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Marvin S Porter is geographically located?

The Marvin S Porter is physically situated at the following location: 8381 Riverwalk Park Blvd, Fort Myers, FL, 339198760.

What is Marvin S Porter's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Marvin S Porter is Procedural Dermatology, and the corresponding taxonomy classification code for this specialized field is 207Ns0135X.

When was the Marvin S Porter's 1346201001 issued?

The Marvin S Porter's 1346201001 was issued on 2006-03-31.

When was the Marvin S Porter's information last updated?

The Marvin S Porter's information was last updated on 2007-07-08.

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