Dr. Debora Lynn Porter, D.C.
Chiropractor in Daytona Beach, FL. Individual provider (NPI-1).
NPI number1508299488
StatusActive
Last updated in NPPESMay 5, 2020
Details
- NPI
- 1508299488
- Entity type
- Individual (NPI-1)
- Name
- Dr. Debora Lynn Porter
- Credential
- D.C.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2013
- Certification date
- May 5, 2020
- Last updated
- May 5, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH10961 | FL | Yes |
Practice location
1367 Beville RdDaytona Beach, FL 32119-1529
Phone 386-173-2000 · Fax 386-265-5552
Mailing address
5111 S Ridgewood AveSuite 103
Port Orange, FL 32127-5169
Phone 386-310-8766 · Fax 386-310-8770
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