Ortega-Jimenez, Victor M.
Ortega-Jimenez, Victor M. is an sole proprietor health care provider with primary practice located at 303 N Clyde Morris Blvd , Daytona Beach FL 32114-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Ortega-Jimenez, Victor M. can be contacted via phone (386) 254-4152.Contact Information
Primary practice address
303 N Clyde Morris Blvd
Daytona Beach FL 32114-2709
Phone: (386) 254-4152
Fax: (386) 254-4315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME33983 | Florida |
| Other Service Providers / Specialist | 174400000X | ME0033983 | Florida |
Profile Details
| NPI number | 1871673392 |
|---|---|
| LBN Legal business name | Ortega-Jimenez, Victor M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Oct 14th, 2015 - about 9 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 | 1871673392 | NPPES |
| Florida | MEDICAID | 041490500 |
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