Ortega, Teodoro K

Ortega, Teodoro K is an sole proprietor health care provider with primary practice located at 5080 Bayou Blvd , Pensacola FL 32503-2522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Ortega, Teodoro K can be contacted via phone (850) 477-4074.

Contact Information

Primary practice address
5080 Bayou Blvd Pensacola FL 32503-2522
Phone: (850) 477-4074
Fax: (850) 476-9234
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME22905 Florida

Profile Details

NPI number 1518945062
LBN Legal business name Ortega, Teodoro K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2006
Last updated Aug 30th, 2019 - about 5 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 1518945062 NPPES
Florida Other 17313 BC/BS OF FL ID NUMBER
Florida Other 590-02294 BC/BS OF FL ID NUMBER
Florida Other ME 22905 BC/BS OF FL ID NUMBER

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