Porter Premier Dermatology and Surgery Center, PLLC
NPI 1104152495ActiveOrganization· Dermatology· Melbourne, FL
Dermatology in Melbourne, Florida, registered in NPPES in October 2009. The authorized official on file is Anthony Jerome Porter, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104152495 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 22, 2009 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | ME96233 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Dermatology providers in Melbourne
- 1851532683
- 1649676669
- 1841049541
- 1295278943
- 1427662071
- 1467269217
- 1477370831
- 1881925006
- 1962825208
- 1467837476
- 1720157696
- 1912217928