Portnof, Jason E.

Portnof, Jason E. is an sole proprietor health care provider with primary practice located at 9980 Central Park Blvd N Ste 113 , Boca Raton FL 33428-1703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Portnof, Jason E. can be contacted via phone (561) 717-3660.

Contact Information

Primary practice address
9980 Central Park Blvd N Ste 113 Boca Raton FL 33428-1703
Phone: (561) 717-3660
Fax: (561) 717-3650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DN16048 Florida
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X ME101326 Florida

Profile Details

NPI number 1760613426
LBN Legal business name Portnof, Jason E.
Credentials DMD, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2009
Last updated Mar 14th, 2024 - about 6 months 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 1760613426 NPPES
Florida MEDICAID 008090701

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