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Contact Information

PORIS PLASTIC SURGERY, LLC
324 E PAR ST STE 100
ORLANDO, FL32804-4004
 Phone: 321-446-2509
 Fax: 508-923-9894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PORIS PLASTIC SURGERY LLC · (Female)

NPI # 1205411642
Status Active
Credentials
Entity Individual
Enumeration date 03/17/2021
Last updated 06/01/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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