De La Fuente, Sebastian

De La Fuente, Sebastian is an individual health care provider with primary practice located at 2415 N. Orange Ave Suite 400, Orlando FL 32804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. De La Fuente, Sebastian can be contacted via phone (407) 303-7399.

Contact Information

Primary practice address
2415 N. Orange Ave Suite 400 Orlando FL 32804
Phone: (407) 303-7399
Fax: (407) 303-7305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 117167 North Carolina
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME106946 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME106946 Florida

Profile Details

NPI number 1669647921
LBN Legal business name De La Fuente, Sebastian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Oct 31st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669647921 NPPES
Florida MEDICAID 002460700

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