Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Porter Premier Dermatology and Surgery Center, PLLC

Organization Dermatology Physician · NPI 1104152495

Porter Premier Dermatology and Surgery Center, PLLC is a Dermatology Physician in Melbourne, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1515 W Nasa Blvd Ste 101
Melbourne, FL 32901-2605
Phone: (321) 308-0659
Fax: (321) 309-2881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1344 S Apollo Blvd Ste 300, Melbourne, FL 32901-3183 — (321) 308-0659
  • 6032 Farcenda Pl Ste 102, Melbourne, FL 32940-7341 — (321) 608-8160

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME96233 (FL)

Record details

NPI number1104152495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Porter — Owner · (321) 308-0659
NPI enumeratedOctober 22, 2009
Last updated in NPPESMarch 17, 2018
Mailing address1515 W Nasa Blvd Ste 101, Melbourne, FL 32901-2605

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