| Mark Porter Ed D Cap | |
|
240 N Washington Blvd Suite 304 Sarasota FL 34236-5945 | |
| (941) 955-5454 | |
| Not Available |
| Full Name | Mark Porter Ed D Cap |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 240 N Washington Blvd, Sarasota, Florida |
| Authorized Official Name and Position | Mark Porter (PRESIDENT) |
| Authorized Official Contact | 9419555454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Porter Ed D Cap 240 N Washington Blvd Suite 304 Sarasota FL 34236-5945 Ph: (941) 955-5454 | Mark Porter Ed D Cap 240 N Washington Blvd Suite 304 Sarasota FL 34236-5945 Ph: (941) 955-5454 |
| NPI Number | 1477855690 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 11/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477855690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY4711 (Florida) | Primary |
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