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NPI Code Detail

MEDICARE: FARBENZIE TCHESKA PORTER

MEDICARE: FARBENZIE TCHESKA PORTER
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
1363LF0000XFamily Nurse PractitionerAPRN11034182FL

General Provider Information

NPI Number : 1154159275
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARBENZIE TCHESKA PORTER
Provider Business Mailing Address
First Line : 8323 DOVE BOG TER
Second Line :
City : PARRISH
State : FL
Zip : 34219-5537
Country : US
Telephone Number : 941-301-5292
Fax Number :
Provider Business Practice Location Address
First Line : 8130 LAKEWOOD MAIN ST STE 103
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-5068
Country : US
Telephone Number : 941-499-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2024
Last Update Date : 01/21/2026

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Directions to “ FARBENZIE TCHESKA PORTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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