Ortega, Eileen

Ortega, Eileen is an sole proprietor health care provider with primary practice located at 409 Bayshore Blvd , Tampa FL 33606-2707. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Ortega, Eileen can be contacted via phone (813) 844-5470.

Contact Information

Primary practice address
409 Bayshore Blvd Tampa FL 33606-2707
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11127 Puerto Rico
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 11127 Puerto Rico

Profile Details

NPI number 1639117773
LBN Legal business name Ortega, Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Jul 21st, 2022 - 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 1639117773 NPPES
Florida MEDICAID 015343000

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