Jerome J Porter

NPI 1073822862 - Social Worker - 104100000X

NPI Details
NPI 1073822862
Gender Male
Enumeration Date 09/28/2010
Last Updated 09/28/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
719 E NEW ST
DELAND FL, 32724-5811, US
Phone (386) 738-1891
Fax
Business Location
719 E NEW ST
DELAND FL, 32724-5811, US
Phone (386) 738-1891
Fax
Toxanomy
Taxonomy Code 104100000X
License State Florida
License Number 676191796
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According to our database, Mr. Jerome J Porter NPI is 1073822862, taxonomy code is 104100000X and license number is 676191796, license state is located at Florida. Jerome J Porter physically located at 719 E New St, Deland FL, 32724-5811. NPI Number Jerome J Porter has the Individual type.

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1073822862 NPI number is provided on an as is basis without warranty of any kind. 1073822862 is maintained by the National Plan & Provider Enumeration System. The contents of Jerome J Porter are for informational purposes only.