MEDICARE: CATHERINE MARIE 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
1	376K00000X	Nurse's Aide	445062	FL

General Provider Information

NPI Number	:	1366386971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE MARIE PORTER

Provider Business Mailing Address
First Line	:	3365 LAKE WORTH RD STE 11
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3365 LAKE WORTH RD STE 11
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3612
Country	:	US
Telephone Number	:	754-236-4089
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “ CATHERINE MARIE PORTER ” Practice Location

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