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

Anthony Jerome Porter, MD

Individual provider Dermatology Physician · NPI 1013957133

Anthony Jerome Porter, MD is a Dermatology in Melbourne, Florida. Graduated from Medical University of South Carolina College of Medicine in 1998, 28 years ago. Practices with Porter Premier Dermatology and Surgery Center, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
28
Trained at
Medical University of South Carolina College of Medicine
Licensed in
FL, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1515 W Nasa Blvd Ste 101
Melbourne, FL 32901-2605
Phone: (321) 308-0659
Fax: (321) 309-2881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME96233 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence 01058940A (IN)

Record details

NPI number1013957133
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESSeptember 30, 2014
Mailing address1515 W Nasa Blvd, Suite 101, Melbourne, FL 32901-2605

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Porter Premier Dermatology And Surgery Center, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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