Search › Florida › 204E00000X
Jason Portnof, DMD, MD
NPI 1760613426 · on the registry since 2009 · sole proprietor
Practice
- Address
- 9980 Central Park Blvd N Ste 113
Boca Raton, FL 33428 - Phone
- (561) 717-3660
- Fax
- (561) 717-3650
- Organisation at this address
- Moran Kids
M.Mohiuddin Pa
Galaxy Labs Llc
Digital Health Llc
Gastro Health, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 70
Additional practice sites
- 3100 Sw 62nd Ave, Miami, FL
Registry record
- Primary taxonomy
- 204E00000X
204E00000X
- Also registered as
- 204E00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida