Porter, Edward Jerome

Porter, Edward Jerome is an sole proprietor health care provider with primary practice located at 2925 Nw 4Th Ave , Ocala FL 34475-2645. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Nursing Service Providers / Home Health. Nursing Service Providers / Home Health is his primary health care specialty. Porter, Edward Jerome can be contacted via phone (352) 258-4015.

Contact Information

Primary practice address
2925 Nw 4Th Ave Ocala FL 34475-2645
Phone: (352) 258-4015
Fax: (215) 559-6336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Providers / Home Health 163WH0200X 2681892 Florida

Profile Details

NPI number 1104368851
LBN Legal business name Porter, Edward Jerome
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2016
Last updated Jun 22nd, 2017 - about 7 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 1104368851 NPPES
Florida MEDICAID 679698296
Florida MEDICAID 016981800

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