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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTHONY JEROME PORTER, MD

Active

ANTHONY JEROME PORTER, MD is a Dermatology healthcare provider located in MELBOURNE, Florida. NPI 1013957133 is currently active in the NPPES registry. Verify at CMS.

Dermatology · MELBOURNE, FL

Registration Details

NPI Number
1013957133
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2006 (20.225016284827 yrs)
Last Updated
Sep 30, 2014
Licenses
01058940A (IN)
ME96233 (FL)

Practice Information

Address
1515 W NASA BLVD
SUITE 101
MELBOURNE, FL, 329012605
Browse FL providers · Browse ZIP 32901
Phone
3213080659
Fax
3213092881
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology

Other Dermatology Providers in MELBOURNE, FL

Name Credential NPI
LARRY S BISHOP MD 1255325049
ANITA SALUJA MD 1447234000
STACIA POOLE MD 1598732471
ROSALIND A FREAS MD 1275594277
DR. PETER MANGONE ZIES MD 1023046885
SANDRA K SHRADER M.D. 1942227814
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.