SearchFlorida171100000X

Portia Pettitt, AP

NPI 1770876674 · on the registry since 2011 · sole proprietor

Practice

Address
1301 Alton Rd
Miami Beach, FL 33139
Phone
(305) 531-5994

Registry record

Primary taxonomy
171100000X
171100000X
Also registered as
171100000X
Licence states on file
FL, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-05-25

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