Healthcare Provider Details

I. General information

NPI: 1346855400
Provider Name (Legal Business Name): ARAN A PORTE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 CENTURY DR
SMYRNA DE
19977-4476
US

IV. Provider business mailing address

204 CENTURY DR
SMYRNA DE
19977-4476
US

V. Phone/Fax

Practice location:
  • Phone: 302-465-4928
  • Fax:
Mailing address:
  • Phone: 302-465-4928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: