Dr. John Louis Porcaro, M.D.
Surgery, Plastic and Reconstructive Surgery in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1982645461
StatusActive
Last updated in NPPESAug 26, 2011
Details
- NPI
- 1982645461
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Louis Porcaro
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2006
- Last updated
- Aug 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | me66793 | FL | Yes |
| 2086S0129X | ME66793 | FL |
Practice location
1943 Se Port St Lucie BlvdPort St Lucie, FL 34952-5535
Phone 772-286-0509 · Fax 772-286-0509
Mailing address
1943 Se Port St Lucie BlvdPort St Lucie, FL 34952-5535
Phone 772-337-1717 · Fax 772-337-1737
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