Lindsey Rachelle Porth Fnp-bc Pa | |
2770 Indian River Blvd Ste 400-s Vero Beach FL 32960-4299 | |
(772) 206-2262 | |
(888) 498-4434 |
Full Name | Lindsey Rachelle Porth Fnp-bc Pa |
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Speciality | Clinic/Center |
Location | 2770 Indian River Blvd Ste 400-s, Vero Beach, Florida |
Authorized Official Name and Position | Lindsey Rachelle Porth (OWNER/PRACTITIONER) |
Authorized Official Contact | 7722062262 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lindsey Rachelle Porth Fnp-bc Pa 5555 55th Ave Vero Beach FL 32967-2460 Ph: (772) 206-2262 | Lindsey Rachelle Porth Fnp-bc Pa 2770 Indian River Blvd Ste 400-s Vero Beach FL 32960-4299 Ph: (772) 206-2262 |
NPI Number | 1396365409 |
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Provider Enumeration Date | 04/17/2020 |
Last Update Date | 12/29/2023 |
Medicare PECOS PAC ID | 8527498955 |
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Medicare Enrollment ID | O20200424002491 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396365409 | NPI | - | NPPES |
APRN9238673 | Other | FL | APRN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Lindsey R Porth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588807069 PECOS PAC ID: 0648319764 Enrollment ID: I20091203000301 |
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