Orbegozo, Mauricio
Orbegozo, Mauricio is an individual health care provider with primary practice located at 4730 N Habana Ave Ste 300, Tampa FL 33614-7163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Orbegozo, Mauricio can be contacted via phone (844) 542-5724.Contact Information
Primary practice address
4730 N Habana Ave Ste 300
Tampa FL 33614-7163
Phone: (844) 542-5724
Fax: (813) 864-4436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 336-057562 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 336-057562 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME127833 | Florida |
Profile Details
| NPI number | 1851359301 |
|---|---|
| LBN Legal business name | Orbegozo, Mauricio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | May 17th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851359301 | NPPES |
| Illinois | MEDICAID | 36097219 |
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