NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1336165349 |   |   |   | REGINA B PORTNOVA MD INC | 2951 NW 49 AVE | LAUDERDALE LAKES | FL | 33313 |
1114908373 | PORTNOVA | REGINA | B |   | 2951 NW 49TH AVE | LAUDERDALE LAKES | FL | 333131608 |