Provider Demographics
NPI:1841377520
Name:PORFIRI, CARINE (MD)
Entity type:Individual
Prefix:
First Name:CARINE
Middle Name:
Last Name:PORFIRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 GLADES RD
Mailing Address - Street 2:P.O. BOX 3091
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6424
Mailing Address - Country:US
Mailing Address - Phone:561-297-1100
Mailing Address - Fax:561-297-1130
Practice Address - Street 1:777 GLADES RD
Practice Address - Street 2:FLORIDA ATLANTIC UNIVERSITY STUDENT HEALTH SERVICES
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6424
Practice Address - Country:US
Practice Address - Phone:561-297-1100
Practice Address - Fax:561-297-1130
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0062016207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine