MARVIN S PORTER M.D. NPI 1346201001

NPI Information

NPI: 1346201001
Provider Name: MARVIN S PORTER, M.D.
Classification: Dermatology - 207NS0135X
Entity Type: Individual

Specialization: Procedural Dermatology

Address:
8381 RIVERWALK PARK BLVD
SUITE 101
FORT MYERS, FL
ZIP 33919
Phone: (239) 936-5425
Get Directions

Marvin S Porter, M.D. is a procedural dermatology dermatology in Fort Myers, FL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). Marvin S Porter, M.D. NPI is 1346201001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8381 RIVERWALK PARK BLVD
SUITE 101
FORT MYERS, FL
ZIP 33919-760
Phone: (239) 936-5425
Fax: (239) 936-5176

The enumeration date for this NPI number is 3/31/2006 and was last updated on 7/8/2007.

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
1	207NS0135X	Dermatology	Procedural Dermatology	ME0030385	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	79022	OTHER	FLORIDA	BC BS OF FLA
2	79022Z	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
3	4199301	OTHER	FLORIDA	AETNA
4	D58618	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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