Poris Plastic Surgery, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PORIS PLASTIC SURGERY, LLC

Practice address

324 E Par St Ste 100
Orlando, FL 32804-4004

Phone

(321) 446-2509

Fax

(508) 923-9894

NPI assigned

Mar 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephenie L Poris, MD

Title

Owner

Phone

(407) 558-1616

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1205411642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E PAR ST STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044004",
            "telephone_number": "321-446-2509",
            "fax_number": "508-923-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E PAR ST STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044004",
            "telephone_number": "321-446-2509",
            "fax_number": "508-923-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORIS PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "PORIS",
        "authorized_official_first_name": "STEPHENIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-558-1616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Poppen
• Rodrigo Porciuncula Jacobucci, MD
• Jenna Porco
• Jessica Marie Porco
• Kristian Marie Porco, MSOTR/L
• Stephenie Layne Poris, M.D.
• Alyzza Leslie Porrata-Doria, SLPA
• Audrey Alanna Port, DMD
• Porta Nova Homemaker Companion Services
• Porta Nova Homemaker Companion Services, LLC

• Plastic Surgery Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.