Portela, Damian

Portela, Damian is an individual health care provider with primary practice located at 3347 State Road 7 Suite 101, Wellington FL 33449-8095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Portela, Damian can be contacted via phone (561) 790-2111.

Contact Information

Primary practice address
3347 State Road 7 Suite 101 Wellington FL 33449-8095
Fax: (561) 296-0436
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME94172 Florida

Profile Details

NPI number 1194703330
LBN Legal business name Portela, Damian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Oct 13th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194703330 NPPES
Florida Other 1062405 CAREPLUS
Florida Other 7451633 CAREPLUS
Florida Other 11147 CAREPLUS
Florida Other P01250 CAREPLUS
Florida Other P929225 CAREPLUS
Florida Other 32647 CAREPLUS
Florida Other 1242202 CAREPLUS
Florida Other P01596411 CAREPLUS

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