Gary Keith Porter Jr., MS, ATC, LAT, CEAS

Athletic Trainer · Gainesville, FL

Individual Active NPI

NPI number 1710010905

Practice location

222 E University Ave
Station 44
Gainesville, FL 32601-5456
Phone
(352) 334-5000
Fax
(352) 334-3185

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NPI record

NPI
1710010905
Entity type
Individual (Type 1)
Enumeration date
March 14, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AL 1335 FL

Mailing address

999 SW 16TH Ave
105
Gainesville, FL 32601-0425
Phone
(352) 514-4761

About Gary Porter

Gary Keith Porter Jr., MS, ATC, LAT, CEAS is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 222 E University Ave, Station 44, Gainesville, FL 32601-5456. The NPI number 1710010905 was assigned on March 14, 2007 and the record was last updated on July 8, 2007.

Gary Porter lists a license in the registry: #AL 1335 (FL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Keith Porter Jr., MS, ATC, LAT, CEAS?

The NPI number is 1710010905.

What is the phone number of Gary Porter?

The phone number listed for the practice location is (352) 334-5000.

Where is Gary Porter located?

222 E University Ave, Station 44, Gainesville, FL 32601-5456.

What is the taxonomy code for Gary Porter?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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