Gonzales-Portillo, Fernando

Gonzales-Portillo, Fernando is an sole proprietor health care provider with primary practice located at 6735 Conroy Rd Suite 229, Orlando FL 32835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gonzales-Portillo, Fernando can be contacted via phone (407) 581-8640.

Contact Information

Primary practice address
6735 Conroy Rd Suite 229 Orlando FL 32835
Phone: (407) 581-8640
Fax: (407) 581-8659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 29251 Arizona
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME95934 Florida

Profile Details

NPI number 1043284755
LBN Legal business name Gonzales-Portillo, Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Jan 29th, 2020 - about 4 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 1043284755 NPPES
Florida MEDICAID 276495400

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