PORIS PLASTIC SURGERY LLC NPI 1205411642

NPI Information

  • NPI: 1205411642
  • Provider Name: PORIS PLASTIC SURGERY, LLC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • CLIA Number: 10D2268076
  • Address: 324 E PAR ST STE 100
    ORLANDO, FL
    ZIP 32804
  • Phone: (321) 446-2509

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NPI Details

PORIS PLASTIC SURGERY, LLC is a plastic surgery in Orlando, FL. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. PORIS PLASTIC SURGERY, LLC NPI is 1205411642. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

324 E PAR ST STE 100
ORLANDO, FL
ZIP 32804-004
Phone: (321) 446-2509
Fax: (508) 923-9894

The provider's authorized official is Stephenie L Poris .
The authorized official title is Owner and has the following contact phone number (407) 558-1616.

The CLIA number assigned to this NPI record is 10D2268076 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2021 and was last updated on 6/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckNo
2208600000XSurgeryNo
3208200000XPlastic SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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