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NPI Code Detail

MEDICARE: THE PATIENT PORTAL GROUP LLC

MEDICARE: THE PATIENT PORTAL GROUP LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1396378956
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PATIENT PORTAL GROUP LLC
Provider Business Mailing Address
First Line : 4532 US HIGHWAY 19 STE 7
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4950
Country : US
Telephone Number : 727-281-4075
Fax Number :
Provider Business Practice Location Address
First Line : 4532 US HIGHWAY 19 STE 7
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4950
Country : US
Telephone Number : 727-281-4075
Fax Number :
Authorized Official
Title or Position : CEO/OWNER
Name : WILLIAM DIAZ
Credential :
Telephone Number : 727-505-1464
Provider Enumeration Date : 02/21/2020
Last Update Date : 02/21/2020

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Directions to “THE PATIENT PORTAL GROUP LLC ” Practice Location

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