Porter, Russell Joseph

Porter, Russell Joseph is an individual health care provider with primary practice located at 13800 Park Blvd Swt 200, Seminole FL 33776-3439. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Porter, Russell Joseph can be contacted via phone (727) 398-9799.

Contact Information

Primary practice address
13800 Park Blvd Swt 200 Seminole FL 33776-3439
Phone: (727) 398-9799
Fax: (727) 394-7336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH3873 Florida

Profile Details

NPI number 1316996689
LBN Legal business name Porter, Russell Joseph
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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