Provider Demographics
NPI:1154434074
Name:RILEY, POORTI K (MD)
Entity type:Individual
Prefix:DR
First Name:POORTI
Middle Name:K
Last Name:RILEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4600 SW 46TH COURT
Mailing Address - Street 2:SUITE 150
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474
Mailing Address - Country:US
Mailing Address - Phone:352-369-5999
Mailing Address - Fax:352-629-4227
Practice Address - Street 1:4600 SW 46TH COURT
Practice Address - Street 2:SUITE 150
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474
Practice Address - Country:US
Practice Address - Phone:352-369-5999
Practice Address - Fax:352-629-4227
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2023-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME72735174400000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No174400000XOther Service ProvidersSpecialist