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

Miss. Phyllis Diane Porter

Individual provider Developmentally Disabled Services Day Training Agency · NPI 1952842528

Miss. Phyllis Diane Porter is a Developmentally Disabled Services Day Training Agency in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

6650 103rd St Apt 401
Jacksonville, FL 32210-7143
Phone: (904) 559-5434
Show map & directions

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

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X · Licence 000809200 (FL)

Record details

NPI number1952842528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 16, 2017
Last updated in NPPESMarch 16, 2017

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