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NPI 1902163108

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Katherine Poruk, MD

NPI 1902163108 · Surgical Oncology Physician · Jacksonville, FL

Provider details

NPI number: 1902163108
Entity type: Individual
Primary specialty: Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: No
License: 297125 (NY)

Specialties & taxonomies

Surgical Oncology PhysicianPrimary2086X0206XLicense ME159803 (FL)
Allopathic & Osteopathic Physicians
Surgical Oncology Physician2086X0206XLicense 297125 (NY)
Allopathic & Osteopathic Physicians

Practice location

4500 San Pablo Rd S

Jacksonville, FL 32224-1865

Phone: (904) 953-2000

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

4500 San Pablo Rd S

Jacksonville, FL 32224-1865

Additional practice locations (1)

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone: (770) 343-7692

Registry dates

Enumerated: 2012-04-12
Last updated: 2023-02-06
Certified: 2023-02-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Katherine Poruk, MD — NPI 1902163108, Jacksonville, FL | NPI Central