Ordonez, Luis Alberto

Ordonez, Luis Alberto is an individual health care provider with primary practice located at 1514 1St St N , Winter Haven FL 33881-2476. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ordonez, Luis Alberto can be contacted via phone (863) 292-4280.

Contact Information

Primary practice address
1514 1St St N Winter Haven FL 33881-2476
Phone: (863) 292-4280
Fax: (863) 292-4293
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN12940 Florida

Profile Details

NPI number 1689620338
LBN Legal business name Ordonez, Luis Alberto
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Nov 5th, 2018 - 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 1689620338 NPPES
Florida MEDICAID 073737200

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