Mortensen, Neal R

Mortensen, Neal R is an individual health care provider with primary practice located at 450 W Central Pkwy Ste 1000 , Altamonte Springs FL 32714-2433. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mortensen, Neal R can be contacted via phone (321) 397-2699.

Contact Information

Primary practice address
450 W Central Pkwy Ste 1000 Altamonte Springs FL 32714-2433
Phone: (321) 397-2699
Fax: (407) 926-0500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO3214 Florida

Profile Details

NPI number 1922081645
LBN Legal business name Mortensen, Neal R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Sep 27th, 2021 - about 3 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 1922081645 NPPES
Florida Other 65910 BLUE CROSS BLUE SHIELD
Florida MEDICAID 340549400 BLUE CROSS BLUE SHIELD

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