Porter, Petagaye A

Porter, Petagaye A is an sole proprietor health care provider with primary practice located at 1627 Burnham St , Orlando FL 32808-6011. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Porter, Petagaye A can be contacted via phone (508) 648-1511.

Contact Information

Primary practice address
1627 Burnham St Orlando FL 32808-6011
Phone: (508) 648-1511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1295334258
LBN Legal business name Porter, Petagaye A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2020
Last updated Oct 21st, 2020 - about 5 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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