Porter, Brandon

Porter, Brandon is an individual health care provider with primary practice located at 930 Mar Walt Drive Suite A, Fort Walton Beach FL 32547. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Porter, Brandon can be contacted via phone (850) 244-0406.

Contact Information

Primary practice address
930 Mar Walt Drive Suite A Fort Walton Beach FL 32547
Phone: (850) 244-0406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X AS4964 Florida

Profile Details

NPI number 1770910531
LBN Legal business name Porter, Brandon
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2013
Last updated Oct 10th, 2013 - about 12 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 1770910531 NPPES
Florida Other AS44964 HEARING AID SPECIALIST LICENSE NUMBER

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