Ivan Porter is a Nephrology in Jacksonville, Florida. Ivan Porter practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Ivan Porter is 1679737563. The last update date is 2020-08-28.
Ivan Porter's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Ivan Porter is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan Porter |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679737563 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2020-08-28 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | ME105068 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Ivan Porter?
The Ivan Porter has been issued the NPI (National Provider Identifier) 1679737563 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Ivan Porter is located?
The Ivan Porter is situated at the following address: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.
What is the Ivan Porter's specialty and taxonomy code?
The Ivan Porter's specialty is Nephrology, and the corresponding taxonomy code is 207Rn0300X.
When did Ivan Porter receive its 1679737563 assignment?
The Ivan Porter was assigned its 1679737563 on 2008-07-10, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Ivan Porter, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ivan Porter, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-28.
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