Lakeisha L Porter in Temple Terrace - Medical
Lakeisha L Porter - NPI 1063417889
Lakeisha L Porter is a Medical in Temple Terrace, Florida. Lakeisha L Porter practices all healthcare services and medical treatments related to Medical. The NPI Number for Lakeisha L Porter is 1063417889. The last update date is 2007-07-08.
Lakeisha L Porter's current location address is 13020 N Telecom Pkwy, Temple Terrace, Florida. You can contact this provider via phone number 8139789700 and fax number 8139725055. The mailing address for Lakeisha L Porter is 13020 N Telecom Pkwy, Temple Terrace, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lakeisha L Porter |
|---|---|
| Address | 13020 N Telecom Pkwy, Temple Terrace, Florida |
| Phone Number | 8139789700 |
| Fax Number | 8139725055 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063417889 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13020 N Telecom Pkwy |
|---|---|
| City | Temple Terrace |
| State | Florida (FL) |
| Post Code | 3363709250 |
| Phone Number | 8139789700 |
| Fax Number | 8139725055 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9102987 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29192524 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lakeisha L Porter by the Centers for Medicare & Medicaid Services?
The Lakeisha L Porter has been assigned the NPI (National Provider Identifier) 1063417889 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Lakeisha L Porter located?
The Lakeisha L Porter is located at 13020 N Telecom Pkwy, Temple Terrace, FL 3363709250.
What is Lakeisha L Porter's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lakeisha L Porter is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063417889 to Lakeisha L Porter?
The Centers for Medicare & Medicaid Services originally issued the 1063417889 to Lakeisha L Porter on 2005-06-17.
As of what date was the information pertaining to Lakeisha L Porter, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lakeisha L Porter, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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