Guillermo F Porro Dmd Pa

LBN: Guillermo F Porro Dmd Pa
Guillermo F Porro Dmd Pa is an health care organization with primary practice located at 7059 W Waters Ave , Tampa FL 33634-2290. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Guillermo F Porro Dmd Pa can be contacted via phone (813) 889-8599, or through Prospere, Wanda I via phone (813) 889-8599.

Contact Information

Primary practice address
7059 W Waters Ave Tampa FL 33634-2290
Fax: (813) 249-1301
Website:
Authorized official contact:
Name: Prospere, Wanda I

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 10372 Florida

Profile Details

NPI number 1740551019
LBN Legal business name Guillermo F Porro Dmd Pa
DBA Doing business as
Authorized official Prospere, Wanda I
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2012
Last updated Jan 19th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740551019 NPPES
Florida MEDICAID 074901001

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