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

PORTER PREMIER DERMATOLOGY AND SURGERY CENTER, PLLC

Active Organization

PORTER PREMIER DERMATOLOGY AND SURGERY CENTER, PLLC is a Dermatology organization located in MELBOURNE, Florida. NPI 1104152495 is currently active in the NPPES registry. Verify at CMS.

Dermatology · MELBOURNE, FL

Registration Details

NPI Number
1104152495
Provider Type
Organization
NPI Issued
Oct 22, 2009 (16.84399986902 yrs)
Last Updated
Mar 17, 2018
License
ME96233 (FL)

Practice Information

Address
1515 W NASA BLVD STE 101
MELBOURNE, FL, 329012605
Browse FL providers · Browse ZIP 32901
Phone
3213080659
Fax
3213092881
Primary Specialty
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.