Ortega, Jose Agustin

Ortega, Jose Agustin is an individual health care provider with primary practice located at 3450 Lantana Rd Ste100, Lake Worth FL 33462-1304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ortega, Jose Agustin can be contacted via phone (561) 965-1864.

Contact Information

Primary practice address
3450 Lantana Rd Ste100 Lake Worth FL 33462-1304
Phone: (561) 965-1864
Fax: (561) 967-5005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME 100365 Florida

Profile Details

NPI number 1376742833
LBN Legal business name Ortega, Jose Agustin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2007
Last updated Jan 8th, 2015 - about 10 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 1376742833 NPPES
Florida MEDICAID 000065900

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