Portman, Drina Geraldine
Portman, Drina Geraldine is an individual health care provider with primary practice located at 7406 Fullerton St , Jacksonville FL 32256-3552. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Portman, Drina Geraldine can be contacted via phone (305) 336-2711.Contact Information
Primary practice address
7406 Fullerton St
Jacksonville FL 32256-3552
Phone: (305) 336-2711
Fax: (954) 920-9855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN2621802 | Florida |
Profile Details
| NPI number | 1659362424 |
|---|---|
| LBN Legal business name | Portman, Drina Geraldine |
| Credentials | DNP, APRN-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jun 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659362424 | NPPES |
| Florida | MEDICAID | 302867400 | |
| Florida | Other | APRN2621802 |
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