| Porter Medical Group | |
|
6105 Memorial Hwy Ste K Tampa FL 33615-4574 | |
| (813) 422-9606 | |
| Not Available |
| Full Name | Porter Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 6105 Memorial Hwy Ste K, Tampa, Florida |
| Authorized Official Name and Position | Yaime Alayo Linton (NURSE PRACTITIONER) |
| Authorized Official Contact | 3474223085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Porter Medical Group 6018 Rosewood Dr Tampa FL 33615-3428 Ph: (347) 422-3085 | Porter Medical Group 6105 Memorial Hwy Ste K Tampa FL 33615-4574 Ph: (813) 422-9606 |
| NPI Number | 1336976901 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 12/30/2024 |
| Medicare PECOS PAC ID | 3476074311 |
|---|---|
| Medicare Enrollment ID | O20250307000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336976901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Yaime Alayo Linton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598111650 PECOS PAC ID: 7911277066 Enrollment ID: I20170721001665 |
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