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NPI Code Detail

MEDICARE: MELISSA HOPE PORTER P.A.-C.

MEDICARE: MELISSA HOPE PORTER P.A.-C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant3765GA
2363A00000XPhysician AssistantPA9113435FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124008602
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA HOPE PORTER P.A.-C.
Provider Business Mailing Address
First Line : 2181 ORANGE AVE E
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-6144
Country : US
Telephone Number : 850-878-0191
Fax Number : 850-706-3995
Provider Business Practice Location Address
First Line : 2181 ORANGE AVE E
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-6144
Country : US
Telephone Number : 850-878-0191
Fax Number : 850-706-3995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 05/08/2025

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Directions to “ MELISSA HOPE PORTER P.A.-C.” Practice Location

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