Porter, Brad W
Porter, Brad W is an sole proprietor health care provider with primary practice located at 1097 Douglas Ave , Altamonte Springs FL 32714-5211. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Porter, Brad W can be contacted via phone (407) 834-4500.Contact Information
Primary practice address
1097 Douglas Ave
Altamonte Springs FL 32714-5211
Phone: (407) 834-4500
Fax: (407) 862-6544
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN4389 | Florida |
Profile Details
NPI number | 1770608044 |
---|---|
LBN Legal business name | Porter, Brad W |
Credentials | DDS,MS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 19th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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