Provider Demographics
NPI:1508293184
Name:PORRASPITA, MARGARITA (BA)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:PORRASPITA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7530 OMNI LN APT 308
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-5473
Mailing Address - Country:US
Mailing Address - Phone:347-478-0463
Mailing Address - Fax:
Practice Address - Street 1:7530 OMNI LN APT 308
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-5473
Practice Address - Country:US
Practice Address - Phone:347-478-0463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker