Ortiz-Colon, Jessica G

Ortiz-Colon, Jessica G is an sole proprietor health care provider with primary practice located at 600 E Dixie Ave , Leesburg FL 34748-5925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ortiz-Colon, Jessica G can be contacted via phone (352) 323-5762.

Contact Information

Primary practice address
600 E Dixie Ave Leesburg FL 34748-5925
Phone: (352) 323-5762
Fax: (352) 323-5024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 89333 Puerto Rico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN11002228 Florida

Profile Details

NPI number 1407281306
LBN Legal business name Ortiz-Colon, Jessica G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2013
Last updated Apr 17th, 2020 - 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 1407281306 NPPES
Florida MEDICAID 103451400

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