| Doctor Name: | DANA LYNN PORTILLO |
| NPI Number: | 1144521279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN9282543 |
| Business Practice Address: | 1100 Simonton St Key West, FL - 330403110 |
| Business Phone Number: | 3052931549 |
| Business Fax Number: | 3052931547 |
| Mailing Address: | 1100 Simonton St, KEY WEST |
| State: | FL |
| Postal Code: | 330403110 |
| Phone Number: | 3052931549 |
| Fax Number: | 3052931547 |
| NPI Enumeration Date: | 11/05/2010 |
| NPI Last Update Date: | 11/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN9282543 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |