Ortega, Gregory L

Ortega, Gregory L is an individual health care provider with primary practice located at 2776 Enterprise Rd Suite 100, Orange City FL 32763-8316. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Ortega, Gregory L can be contacted via phone (386) 774-1223.

Contact Information

Primary practice address
2776 Enterprise Rd Suite 100 Orange City FL 32763-8316
Phone: (386) 774-1223
Fax: (386) 774-4658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME41521 Florida
Other Service Providers / Specialist 174400000X ME41521 Florida

Profile Details

NPI number 1720037989
LBN Legal business name Ortega, Gregory L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Dec 14th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720037989 NPPES
Florida MEDICAID 04489740

Popular Providers