Individual provider · Type 1 NPI

Dorothy Whatley Porter, PA

Medical Physician Assistant · Port Orange, FL

NPI number 1871849133 Active

Practice location

3635 S Clyde Morris Blvd, Suite 100
Port Orange, FL 32129-2300

Fax (386) 756-8802

Mailing address

4800 Belfort Rd
Jacksonville, FL 32256-6004

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9106692 (FL)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1871849133

Dorothy Whatley Porter, PA's National Provider Identifier is 1871849133, issued on Jul 24, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Port Orange, FL. The record was last updated on May 23, 2013.