MEDICARE: AARON J PORTER DO

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	207Q00000X	Family Medicine Physician	OS 12806	FL
2	207Q00000X	Family Medicine Physician	0102203242	VA

General Provider Information

NPI Number	:	1821250721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON J PORTER DO

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:	386-274-2499

Provider Business Practice Location Address
First Line	:	420 S NOVA RD STE 4&5
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-0410
Country	:	US
Telephone Number	:	386-615-8122
Fax Number	:	844-899-3686

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

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	02/13/2026

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Directions to “ AARON J PORTER DO” Practice Location

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