Carla Porter, APRN
Nurse Practitioner, Family in Coral Springs, FL. Individual provider (NPI-1).
NPI number1093376501
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1093376501
- Entity type
- Individual (NPI-1)
- Name
- Carla Porter
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2019
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11002815 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 11002815 | FL |
Practice location
8170 Royal Palm BlvdCoral Springs, FL 33065-5701
Phone 954-755-1904 · Fax 954-755-1910
Mailing address
8170 Royal Palm BlvdCoral Springs, FL 33065-5701
Phone 954-755-1904 · Fax 954-755-1910
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