Porter, Marvin S

Porter, Marvin S is an individual health care provider with primary practice located at 8381 Riverwalk Park Blvd Suite 101, Fort Myers FL 33919-8760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Porter, Marvin S can be contacted via phone (239) 936-5425.

Contact Information

Primary practice address
8381 Riverwalk Park Blvd Suite 101 Fort Myers FL 33919-8760
Phone: (239) 936-5425
Fax: (239) 936-5176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME0030385 Florida

Profile Details

NPI number 1346201001
LBN Legal business name Porter, Marvin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1346201001 NPPES
Florida Other 79022 BC BS OF FLA
Florida Other 4199301 BC BS OF FLA

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