OrganizationActive
Porter Premier Dermatology and Surgery Center, PLLC
NPI 1104152495 · Dermatology Physician · Melbourne, FL
Provider details
- NPI number
- 1104152495
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Porter, Owner(321) 308-0659
- License
- ME96233 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1515 W Nasa Blvd Ste 101
Melbourne, FL 32901-2605
Phone: (321) 308-0659
Fax: (321) 309-2881
Street-level locationGet directions
Mailing address
1515 W Nasa Blvd Ste 101
Melbourne, FL 32901-2605
Additional practice locations (2)
- 6032 Farcenda Pl Ste 102Melbourne, FL 32940-7341Phone: (321) 608-8160Fax: (321) 622-6818
- 1344 S Apollo Blvd Ste 300Melbourne, FL 32901-3183Phone: (321) 308-0659Fax: (321) 309-2881
Registry dates
- Enumerated
- 2009-10-22
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.