Individual provider · Type 1 NPI

Eric Portalatin

General Practice Dentistry · Jacksonville, FL

NPI number 1194461574 Active

About NPI 1194461574

Eric Portalatin's National Provider Identifier is 1194461574, issued on May 9, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 21, 2026.